Individual provider · Type 1 NPI

Agnes Abongwa

Psychiatric/Mental Health Registered Nurse · Culver City, CA

NPI number 1154837912 Active

Practice location

9808 Venice Blvd Ste 201
Culver City, CA 90232-2732

Call (310) 945-3350 Map

Fax (310) 945-3356

Mailing address

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X620884 (CA)

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

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About NPI 1154837912

Agnes Abongwa's National Provider Identifier is 1154837912, issued on Dec 15, 2017. 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 Dec 15, 2017.