Healthcare Provider Details

I. General information

NPI: 1144033788
Provider Name (Legal Business Name): TMN HOLISTIC CARE A NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1296 MAGNOLIA DR
CARSON CA
90746-7405
US

IV. Provider business mailing address

6060 W MANCHESTER AVE STE 202
LOS ANGELES CA
90045-4266
US

V. Phone/Fax

Practice location:
  • Phone: 714-476-8156
  • Fax:
Mailing address:
  • Phone: 714-476-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BEN MAMIE EMERUWA
Title or Position: OWNER
Credential:
Phone: 714-476-8156