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Phillip Antonio
NPI 1679082572 · on the registry since 2017
Practice
- Address
- 18111 Nordhoff Street, California State Northridge
Northridge, CA 91330 - Phone
- (818) 642-7785
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-19
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