Individual
CHIDIMMAH ONYINYE AGBASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5701 S WESTERN AVE, LOS ANGELES, CA 90062-2714
(424) 603-9302
Mailing address
2121 W 96TH ST, LOS ANGELES, CA 90047-3731
(424) 603-9302
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
754376
CA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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