Individual provider · Type 1 NPI
Vivienne Aghogho Ayomanor, NP
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Los Angeles, CA
NPI number
1790282960
Active
Practice location
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Fax (323) 541-1401
Mailing address
12235 Dune St
Norwalk, CA 90650-2079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03180872 (CA) |
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0810X | 2022002084 (CA) |
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1790282960
Vivienne Aghogho Ayomanor, NP's National Provider Identifier is 1790282960, issued on Apr 12, 2018. The primary taxonomy on file is Child & Family Psychiatric/Mental Health Clinical Nurse Specialist (364SP0810X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 30, 2025.