Individual
OGBONNA IWUAMADI OLELEWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
11712 S. HAWTHORNE BLVD, HAWTHORNE, CA 90250
(310) 679-9293
(310) 679-4017
Mailing address
PO BOX 507, LAKEWOOD, CA 90714-0507
(562) 277-2586
(562) 633-4662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95006315
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006315
CA
Other
Enumeration date
03/13/2017
Last updated
04/16/2024
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