Individual provider · Type 1 NPI

Osagie Obanor

Specialist · Los Angeles, CA

NPI number 1295220093 Active

Practice location

4211 Avalon Blvd
Los Angeles, CA 90011-5622

Call (323) 233-0425 Map

Mailing address

3868 W 132nd St Apt 1
Hawthorne, CA 90250-9349

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA164266 (CA)

Specialist: 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.

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About NPI 1295220093

Osagie Obanor's National Provider Identifier is 1295220093, issued on Jun 25, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 11, 2021.