Agu, Christopher Kanayo

Agu, Christopher Kanayo is an individual health care provider with primary practice located at 1055 W Victoria St , Rancho Dominguez CA 90220-5804. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Agu, Christopher Kanayo can be contacted via phone (310) 868-5379.

Contact Information

Primary practice address
1055 W Victoria St Rancho Dominguez CA 90220-5804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619012440
LBN Legal business name Agu, Christopher Kanayo
Credentials PPS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619012440 NPPES
California Other 101YM0800X COUNSELOR-MENTAL HEALTH

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