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DERRICK MORKPORKPOR AGBEMENU
NPI 1275410110
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since August 20, 2025
1731 E 120TH ST, LOS ANGELES, CA 90059(323) 563-4800 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Derrick Morkporkpor Agbemenu NPPES

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

DERRICK MORKPORKPOR AGBEMENU (NPI 1275410110) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1275410110
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDERRICK MORKPORKPOR AGBEMENU
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1037 Suffolk WayFairfield, CA 94533-7711
Phone(323) 563-4800
Sole ProprietorYes
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1275410110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1731 E 120TH ST, Los Angeles, CA 90059
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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.

MADISON KAUANOE WILLIAMS MD
Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
CHRIS NOLASCO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 568-3347
SAMUEL KIM MD
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-2480
KATIA CAMPOS
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
TIFFANY MOLINA TAN
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
JASMINE ALEXANDRIA HOLLOWAY
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
SHARDAE BLANDIN
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
BRIAN GIOVANNI MONTANO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800

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 Derrick Agbemenu's NPI number?

The NPI number for Derrick Agbemenu is 1275410110. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Derrick Agbemenu located?

Derrick Agbemenu practices at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (323) 563-4800.

What is Derrick Agbemenu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derrick Agbemenu was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.