Individual provider · Type 1 NPI
Ogonna Mavis Ezeani
Psychiatric/Mental Health Nurse Practitioner · Culver City, CA
NPI number
1811627474
Active
Practice location
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95280169 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1811627474
Ogonna Mavis Ezeani's National Provider Identifier is 1811627474, issued on Jun 15, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Culver City, CA. The record was last updated on Jul 16, 2026.