Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Phillip John Antonio

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679082572

Mr. Phillip John Antonio is a Student in an Organized Health Care Education/Training Program in Northridge, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

18111 Nordhoff Street California State Northridge
Northridge, CA 91330-8287
Phone: (818) 642-7785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1679082572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2017
Last updated in NPPESSeptember 19, 2019
Mailing address8792 Hazeltine Ave, Panorama City, CA 91402-2552

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