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NPI Code Detail

MEDICARE: DR. RITA OZIOMA ONWENNA DNP, RN, NP

MEDICARE: DR. RITA OZIOMA ONWENNA DNP, RN, NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner17442CA
2363L00000XNurse Practitioner17442CA
3163W00000XRegistered Nurse555445CA
4363LF0000XFamily Nurse Practitioner17442CA

General Provider Information

NPI Number : 1003463100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RITA OZIOMA ONWENNA DNP, RN, NP
Provider Business Mailing Address
First Line : 123 S. MONTEBELLO BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-4729
Country : US
Telephone Number : 323-314-2869
Fax Number : 323-887-3126
Provider Business Practice Location Address
First Line : 123 S. MONTEBELLO BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-4729
Country : US
Telephone Number : 323-314-2869
Fax Number : 323-887-3126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 04/12/2024

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