=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720983075
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TTNIKKI AND EMMA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2026
-----------------------------------------------------
Last Update Date | 10/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11001 CRENSHAW BLVD
-----------------------------------------------------
City | INGLEWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90303-2303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-628-9199
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 617 E 97TH ST APT 205
-----------------------------------------------------
City | INGLEWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90301-4329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-628-9199
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | OGHENEOVO BLESSING OHWOJEHERI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 323-628-9199
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------