Adeagbo, Grace O

Adeagbo, Grace O is an individual health care provider with primary practice located at 2204 Torrance Blvd Ste 102 , Torrance CA 90501-0502. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Adeagbo, Grace O can be contacted via phone (424) 488-2030.

Contact Information

Primary practice address
2204 Torrance Blvd Ste 102 Torrance CA 90501-0502
Phone: (424) 488-2030
Fax: (424) 488-2202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 635727 California
Nursing Service Providers / Home Health 163WH0200X 635727 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005218 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95005218 California

Profile Details

NPI number 1992986731
LBN Legal business name Adeagbo, Grace O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Jun 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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