Individual provider · Type 1 NPI
Vivian Mbonifor
Psychiatric/Mental Health Nurse Practitioner · Gardena, CA
NPI number
1144937327
Active
Practice location
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Other practice locations
- 11401 Bloomfield Ave, Norwalk, CA 90650-2015 · (562) 863-7011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2022010372 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1144937327
Vivian Mbonifor's National Provider Identifier is 1144937327, issued on Oct 28, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gardena, CA. The record was last updated on Apr 17, 2023.