Individual provider · Type 1 NPI

Samusideen Enigbokan

Psychiatric/Mental Health Registered Nurse · Culver City, CA

NPI number 1124392923 Active

Practice location

9808 Venice Blvd, SUITE700
Culver City, CA 90232-2732

Fax (310) 840-7023

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	560914 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1124392923

Samusideen Enigbokan's National Provider Identifier is 1124392923, issued on Feb 27, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Culver City, CA. The record was last updated on Feb 27, 2012.