Agboke, Jackie
Agboke, Jackie is an individual health care provider with primary practice located at 757 Westwood Plz Fl 4 , Los Angeles CA 90095-3051. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agboke, Jackie can be contacted via phone (310) 267-9190.Contact Information
Primary practice address
757 Westwood Plz Fl 4
Los Angeles CA 90095-3051
Phone: (310) 267-9190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 86357 | California |
Profile Details
| NPI number | 1467717124 |
|---|---|
| LBN Legal business name | Agboke, Jackie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Sep 21st, 2019 - about 6 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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