Agu, Phyllis

Agu, Phyllis is an individual health care provider with primary practice located at 710 E 111Th Pl , Los Angeles CA 90059-1518. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Agu, Phyllis can be contacted via phone (323) 233-0425.

Contact Information

Primary practice address
710 E 111Th Pl Los Angeles CA 90059-1518
Fax: (323) 232-2366
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 40071 California

Profile Details

NPI number 1588174742
LBN Legal business name Agu, Phyllis
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2017
Last updated Oct 2nd, 2017 - about 7 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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