Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YS0200X | School Counselor | ||
N | 363LF0000X | Nurse Practitioner - Family Medicine | 23402 | CA |
NPI | 1043439813 |
---|---|
Provider Name | Amaka Anyaoha |
First Address | Torrance, CA 90505 |
Second Address | El Segundo, CA 90245-4749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 24/10/2019 |