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BLASIUS TEGHEN AGUM
NPI 1063293207
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since October 12, 2023
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-3161 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blasius Teghen Agum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLASIUS TEGHEN AGUM (NPI 1063293207) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95027247) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1063293207
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBLASIUS TEGHEN AGUM
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702 · (323) 857-3161
Phone(323) 857-3161
Sole ProprietorYes
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1063293207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95027247
6041 CADILLAC AVE, Los Angeles, CA 90034
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN M KALKIN SP
Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
JACQUELINE A RICE CNM
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
DR. LINDA FONG M.D.
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3290
LINDA HAN PHARM.D.
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3989
BRYAN HERNANDEZ MD
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 666-6055
ALLAN CHEN MD
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3303
JOSEPHINE JUI-YU CHIU MD
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
LICERIO V. CASTRO JR. MD
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blasius Agum's NPI number?

The NPI number for Blasius Agum is 1063293207. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Blasius Agum located?

Blasius Agum practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-3161.

What is Blasius Agum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Blasius Agum was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.