Healthcare Provider Details
I. General information
NPI: 1649194093
Provider Name (Legal Business Name): AMAGHI INC. PSYCHOLOGICAL SERVICE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2150 HILLHURST AVE
LOS ANGELES CA
90027-2012
US
IV. Provider business mailing address
2150 HILLHURST AVE
LOS ANGELES CA
90027-2012
US
V. Phone/Fax
- Phone: 213-672-6131
- Fax:
- Phone: 213-672-6131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
OBIAGELI
UGURU
Title or Position: PRESIDENT
Credential: PHD
Phone: 213-672-6131