Search › California › 1041C0700X
Antonio Fidler-Woodard
NPI 1558083725 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4067 Hardwick St # 363
Lakewood, CA 90712 - Phone
- (323) 849-0220
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California