| 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 |