NPI | 1962074344 |
---|---|
Entity Type | Organization |
Authorized Contact | OZIOMA NWOSU Owner, Provider 310-242-3136 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-07-14 |
Last Update Date | 2022-06-27 |