OSAGIE OBANOR
NPI 1295220093
Specialist in Los Angeles, CA
- Individual
- Male
- Specialist
About OSAGIE OBANOR
This page provides the complete NPI Profile along with additional information for Osagie Obanor, a provider established in Los Angeles, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1295220093 assigned on June 2018. The practitioner's primary taxonomy code is 174400000X with license number A164266 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1295220093 Verify this NPI
- Provider Name
- OSAGIE OBANOR
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4211 AVALON BLVD LOS ANGELES, CA 90011
- Location Phone
- (323) 233-0425
- Mailing Address
- 3868 W 132ND ST APT 1 HAWTHORNE, CA 90250
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2018
- Last Update Date
- 06-11-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- A164266
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295220093, enumerated as an "individual" on June 25, 2018.
The provider is located at 4211 AVALON BLVD LOS ANGELES, CA 90011 and the phone number is (323) 233-0425.
Specialist with taxonomy code 174400000X.
