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Individual

MR. ANTHONY ODION OZIGHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1260 15TH ST STE 1502, SANTA MONICA, CA 90404-1135
(310) 656-1702
(310) 458-1061
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22244
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
22244
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
771062
BRN
CA
Enumeration date
07/03/2007
Last updated
02/06/2024
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