Vivienne Aghogho Ayomanor, NP
Clinical Nurse Specialist, Psych/Mental Health, Child & Family in Los Angeles, CA. Individual provider (NPI-1).
NPI number1790282960
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1790282960
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vivienne Aghogho Ayomanor
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2018
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0810X | Clinical Nurse Specialist, Psych/Mental Health, Child & Family | 2022002084 | CA | Yes |
| 363LF0000X | Nurse Practitioner, Family | F03180872 | CA |
Practice location
12021 Wilmington AveLos Angeles, CA 90059-3019
Phone 213-705-9332 · Fax 323-541-1401
Mailing address
12235 Dune StNorwalk, CA 90650-2079
Phone 310-561-5009
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