| NPI | 1285192922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEANYI CHRISTIAN ONYE Owner 310-339-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-04-10 |