Organization
HERITAGE HEALTH AND WELLNESS NP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA CYNTHIA ANIEMEKA MD (NURSE PRACTITIONER)
(310) 921-0196
Entity
Organization
Contact information
Practice address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(818) 922-7339
(818) 922-7337
Mailing address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(818) 922-7339
(818) 922-7337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/13/2023
Last updated
03/03/2025
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