Individual provider · NPI-1

Chidimmah Onyinye Agbasi, LVN

Licensed Vocational Nurse · Los Angeles, CA

NPI number1417815135
StatusActive
Last updated in NPPESJan 12, 2026

Details

NPI
1417815135
Entity type
Individual (NPI-1)
Name
Chidimmah Onyinye Agbasi
Credential
LVN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2026
Certification date
Jan 12, 2026
Last updated
Jan 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse754376CAYes

Practice location

5701 S Western Ave
Los Angeles, CA 90062-2714

Phone 424-603-9302

Mailing address

2121 W 96th St
Los Angeles, CA 90047-3731

Phone 424-603-9302

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