Healthcare Provider Details

I. General information

NPI: 1720983075
Provider Name (Legal Business Name): TTNIKKI AND EMMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11001 CRENSHAW BLVD
INGLEWOOD CA
90303-2303
US

IV. Provider business mailing address

617 E 97TH ST APT 205
INGLEWOOD CA
90301-4329
US

V. Phone/Fax

Practice location:
  • Phone: 323-628-9199
  • Fax:
Mailing address:
  • Phone: 323-628-9199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: OGHENEOVO BLESSING OHWOJEHERI
Title or Position: MANAGING MEMBER
Credential:
Phone: 323-628-9199