Individual provider · Type 1 NPI

Mary Korto Omeze

Ambulatory Care Registered Nurse · Los Angeles, CA

NPI number 1225905425 Active

Practice location

5850 S Main St
Los Angeles, CA 90003-1215

Mailing address

3618 W 133rd St
Hawthorne, CA 90250-8981

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X790475 (CA)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1225905425

Mary Korto Omeze's National Provider Identifier is 1225905425, issued on Oct 21, 2025. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 21, 2025.