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
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.