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MRS. GLORIA OTIENO-OBILO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5611 E VERNON ST, LONG BEACH, CA 90815-2048
(253) 561-5294
Mailing address
300 CONTINENTAL BLVD STE 560, EL SEGUNDO, CA 90245-5030
(310) 658-3775

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95018136
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95018136
NP LICENCE
CA
Enumeration date
09/30/2021
Last updated
09/09/2025
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