Individual
OBINNA METU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12450 VAN NUYS BLVD STE 200, PACOIMA, CA 91331-1393
(818) 896-1161
(818) 896-5069
Mailing address
12450 VAN NUYS BLVD STE 200, PACOIMA, CA 91331-1393
(818) 896-1161
(818) 896-5069
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN95203287
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
10/18/2022
Last updated
12/22/2022
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