Healthcare Provider Details

I. General information

NPI: 1679761092
Provider Name (Legal Business Name): MISS FRANCES AHUNNA OHAERI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 E 120TH ST
LOS ANGELES CA
90059-3052
US

IV. Provider business mailing address

1720 E 120TH ST
LOS ANGELES CA
90059-3052
US

V. Phone/Fax

Practice location:
  • Phone: 310-668-4884
  • Fax: 310-668-4498
Mailing address:
  • Phone: 310-668-4884
  • Fax: 310-668-4498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 28818
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: