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NPI 1679524375

IndividualActive

Anthonia Udo

NPI 1679524375 · Contractor · Los Angeles, CA

Provider details

NPI number: 1679524375
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Female

Practice location

4055 Wilshire Blvd

Suite 410

Los Angeles, CA 90010-3403

Phone: (213) 389-7491

Fax: (213) 389-6218

More CA providers

Mailing address

4055 Wilshire Blvd

Los Angeles, CA 90010-3403

Registry dates

Enumerated: 2006-05-15
Last updated: 2007-07-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anthonia Udo — NPI 1679524375, Los Angeles, CA | NPI Central