Individual
PRINCE OKOSUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6838 W SUNSET BLVD, HOLLYWOOD, CA 90028-7008
(323) 461-3161
(323) 461-5683
Mailing address
9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 840-7023
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
550304
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017967
CA
Other
Enumeration date
03/23/2010
Last updated
10/03/2022
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