Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUSIDEEN ENIGBOKAN NURSING (REGISTERED NURSE)
(213) 253-2677
Entity
Organization
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
(213) 253-2677
Mailing address
3507 FLORESTA AVE, LOS ANGELES, CA 90043-1850
(323) 228-9631
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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