Healthcare Provider Details

I. General information

NPI: 1558049833
Provider Name (Legal Business Name): LOVETH AMAKOR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 AERICK ST STE 3
INGLEWOOD CA
90301-4884
US

IV. Provider business mailing address

645 AERICK ST STE 3
INGLEWOOD CA
90301-4884
US

V. Phone/Fax

Practice location:
  • Phone: 310-431-4480
  • Fax:
Mailing address:
  • Phone: 310-431-4480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95026059
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95026059
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: