Healthcare Provider Details

I. General information

NPI: 1841976339
Provider Name (Legal Business Name): ENJOYSAMER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ROSECRANS AVE STE 500
MANHATTAN BEACH CA
90266-3771
US

IV. Provider business mailing address

1500 ROSECRANS AVE STE 500
MANHATTAN BEACH CA
90266-3771
US

V. Phone/Fax

Practice location:
  • Phone: 310-956-7610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHINENYE UMUNNAKWE
Title or Position: OWNER
Credential:
Phone: 310-956-7610