Individual
GEORGE ONYEWUCHI AMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
1335 W 139TH ST APT 111, GARDENA, CA 90247-2261
(310) 404-1315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95011782
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011782
CA
Other
Enumeration date
05/15/2019
Last updated
06/10/2020
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