Phillip John Antonio

Athletic Trainer · Northridge, CA

Individual Active NPI

NPI number 1679082572

Practice location

18111 Nordhoff Street, California State Northridge
Northridge, CA 91330-8287
Phone
(818) 642-7785

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NPI record

NPI
1679082572
Entity type
Individual (Type 1)
Enumeration date
September 22, 2017
Last updated
September 19, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — CA
Student in an Organized Health Care Education/Training Program 390200000X — CA

Mailing address

8792 Hazeltine Ave
Panorama City, CA 91402-2552
Phone
(818) 642-7785

About Phillip Antonio

Phillip John Antonio is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 18111 Nordhoff Street, California State Northridge, Northridge, CA 91330-8287. The NPI number 1679082572 was assigned on September 22, 2017 and the record was last updated on September 19, 2019.

Frequently asked questions

What is the NPI number of Phillip John Antonio?

The NPI number is 1679082572.

What is the phone number of Phillip Antonio?

The phone number listed for the practice location is (818) 642-7785.

Where is Phillip Antonio located?

18111 Nordhoff Street, California State Northridge, Northridge, CA 91330-8287.

What is the taxonomy code for Phillip Antonio?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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