Individual
CALISTA ABAEKOBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 WILMINGTON AVE BLDG 18, STE.101, LOS ANGELES, CA 90059-3019
(424) 454-6001
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95158638
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
95158638
CA
Other
Enumeration date
10/25/2021
Last updated
06/25/2025
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