Mrs. Jane Ogechi Agu
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
9808 Venice Blvd
Culver City
, California 90232
Mrs. Jane Ogechi Agu
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
9808 Venice Blvd
Culver City
, California 90232
(310) 945-3350
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Jane Ogechi Agu
- 9808 Venice Blvd
- Culver City, CA
- Zip : 90232-2732
- Phone : (310) 945-3350
Second Address
- Mrs. Jane Ogechi Agu
- 9808 Venice Blvd
- Culver City, CA
- Zip : 90232
- Phone : (310) 945-3350
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Is Mrs. Jane Ogechi Agu a sole practitioner?
Is Mrs. Jane Ogechi Agu accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | NP95002667 | CA |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95002667 | CA |
National Provider Identifier
| NPI | 1013375211 |
|---|---|
| Provider Name | Mrs. Jane Ogechi Agu |
| First Address | Culver City, CA 90232-2732 |
| Second Address | Culver City, CA 90232 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2016 |
| Last Update Date | 09/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.