Healthcare Provider Details

I. General information

NPI: 1386562551
Provider Name (Legal Business Name): BLESSING OMORUYI NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 W 164TH ST APT D
GARDENA CA
90247-4859
US

IV. Provider business mailing address

1229 W 164TH ST APT D
GARDENA CA
90247-4859
US

V. Phone/Fax

Practice location:
  • Phone: 832-000-0000
  • Fax:
Mailing address:
  • Phone:
  • 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: BLESSING OMORUYI
Title or Position: PMHNP
Credential:
Phone: 323-674-3445