| NPI | 1487089702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMAMWODE S. OGBEIWI Np 626-813-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 17752) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 17752) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2022-01-04 |