Organization
MIKEN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBERE ASSUMPTA NWOSU (AUTHORISED OFFICIAL)
(094) 501-8348
Entity
Organization
Contact information
Practice address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(094) 501-8348
Mailing address
439 E 224TH ST, CARSON, CA 90745-3945
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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