Individual
DR. TONY AIRENDE AKPENGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
765 W COLLEGE ST, LOS ANGELES, CA 90012-1181
(213) 580-7344
Mailing address
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3839
(909) 881-7320
(909) 881-7330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
778311
CA
207QA0505X
Adult Medicine Physician
95005886
CA
363LA2200X
Adult Health Nurse Practitioner
778311
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
778311
CA
363LP2300X
Primary Care Nurse Practitioner
778311
CA
Other
Enumeration date
05/06/2011
Last updated
10/13/2023
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