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NPI Code Detail

MEDICARE: LAURA VICTORIA AKINNAGBE

MEDICARE: LAURA VICTORIA AKINNAGBE
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
1363LF0000XFamily Nurse Practitioner95019806CA

General Provider Information

NPI Number : 1174345763
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA VICTORIA AKINNAGBE
Provider Business Mailing Address
First Line : 444 W OCEAN BLVD STE 800
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 444 W OCEAN BLVD STE 800
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4529
Country : US
Telephone Number : 888-664-3375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2024
Last Update Date : 10/25/2024

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Directions to “ LAURA VICTORIA AKINNAGBE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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