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NPI Code Detail

MEDICARE: KOSI UZOCHIKA OBIALOR

MEDICARE:   KOSI UZOCHIKA OBIALOR
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 Practitioner95022493CA

General Provider Information

NPI Number : 1336861632
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOSI UZOCHIKA OBIALOR
Provider Business Mailing Address
First Line : 225 S OLIVE ST APT 709
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-4903
Country : US
Telephone Number : 323-612-9849
Fax Number :
Provider Business Practice Location Address
First Line : 14541 DELANO ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2820
Country : US
Telephone Number : 800-919-0118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2022
Last Update Date : 04/04/2023

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Directions to “ KOSI UZOCHIKA OBIALOR ” Practice Location

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