Kingsley Anyanwu
Rehabilitation Practitioner in Culver City, CA. Individual provider (NPI-1).
NPI number1730765249
StatusActive
Last updated in NPPESMar 23, 2021
Details
- NPI
- 1730765249
- Entity type
- Individual (NPI-1)
- Name
- Kingsley Anyanwu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2021
- Certification date
- Mar 23, 2021
- Last updated
- Mar 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
Phone 310-945-3350 · Fax 310-945-3356
Mailing address
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
Phone 310-945-3350 · Fax 310-945-3356
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