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OSAGIE OBANOR
NPI 1295220093
Specialist in Los Angeles, CA

Active since June 25, 2018
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 233-0425 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2021, Jun 25, 2018 (2 updates tracked since 2018).

About Osagie Obanor NPPES

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

OSAGIE OBANOR (NPI 1295220093) is an individual specialist in Los Angeles, California, licensed in California (A164266) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1295220093
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameOSAGIE OBANOR
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address3868 W 132nd St Apt 1Hawthorne, CA 90250-9349
Phone(323) 233-0425
Sole ProprietorNo
Enumeration DateJune 25, 2018
Last NPPES UpdateJune 11, 20212 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1295220093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A164266
Definition
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.
4211 AVALON BLVD, Los Angeles, CA 90011
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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.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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 Osagie Obanor's NPI number?

The NPI number for Osagie Obanor is 1295220093. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Osagie Obanor located?

Osagie Obanor practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 233-0425.

What is Osagie Obanor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Osagie Obanor was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.