NPI | 1790193472 |
---|---|
Other Name | ROSETTE ADEGBE |
Entity Type | Organization |
Authorized Contact | ROSETTE JONATHAN ADEGBE Fnp 323-806-5783 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA F0714839) |
Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
273Y00000X Rehabilitation Unit (Licence: CA F0714839) | |
302R00000X Health Maintenance Organization (Licence: CA F0714829) | |
311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA F0714839) | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2014-07-26 |
Last Update Date | 2014-07-26 |