MEDICARE: VEROSYL HEALTH SERVICES

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	:	1972250447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEROSYL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	10733 ELGERS ST
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-2604
Country	:	US
Telephone Number	:	562-650-5481
Fax Number	:

Provider Business Practice Location Address
First Line	:	2338 E ANAHEIM ST # 200A-A
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-5730
Country	:	US
Telephone Number	:	562-650-5481
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA OFOEGBU
Credential	:
Telephone Number	:	562-650-5481

Provider Enumeration Date	:	03/04/2022
Last Update Date	:	03/02/2023

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