Individual
MR. ABRAHAM AGIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
5024 TORRANCE BLVD, TORRANCE, CA 90503-4116
(310) 490-7956
Mailing address
5024 TORRANCE BLVD, TORRANCE, CA 90503-4116
(310) 490-7956
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95199589
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031785
CA
Other
Enumeration date
02/16/2024
Last updated
12/18/2024
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