Healthcare Provider Details

I. General information

NPI: 1629829155
Provider Name (Legal Business Name): KARE4U HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 S BROADWAY APT 701
LOS ANGELES CA
90015-4486
US

IV. Provider business mailing address

27915 RIDGEBROOK CT
RANCHO PALOS VERDES CA
90275-3370
US

V. Phone/Fax

Practice location:
  • Phone: 310-741-1258
  • Fax: 310-741-1258
Mailing address:
  • Phone: 310-741-1258
  • Fax: 310-741-1258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHIOMA ONODUGO
Title or Position: OWNER
Credential: NP
Phone: 310-741-1258