MEDICARE: KEMPEX PSYCHIATRIC & WELLNESS CENTER

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1528984135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEMPEX PSYCHIATRIC & WELLNESS CENTER

Provider Business Mailing Address
First Line	:	355 S GRAND AVE STE 2450
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90071-9500
Country	:	US
Telephone Number	:	323-282-7382
Fax Number	:	323-282-7382

Provider Business Practice Location Address
First Line	:	818 E SANDPOINT CT
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-1527
Country	:	US
Telephone Number	:	323-282-7382
Fax Number	:	323-282-7382

Authorized Official
Title or Position	:	OWNER
Name	:	MARCELINUS ONYEJIJI
Credential	:
Telephone Number	:	323-282-7382

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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