| NPI | 1356119903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA CYNTHIA ANIEMEKA Nurse Practitioner 310-921-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-01-11 |