Individual provider · NPI-1

Ebony Adagun

Registered Nurse, Perinatal · Carson, CA

NPI number1831059120
StatusActive
Last updated in NPPESNov 18, 2025

Details

NPI
1831059120
Entity type
Individual (NPI-1)
Name
Ebony Adagun
Sole proprietor
Yes
Enumeration date
Nov 18, 2025
Certification date
Nov 18, 2025
Last updated
Nov 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP1700X Registered Nurse, Perinatal95324454CAYes

Practice location

21800 Avalon Blvd Unit 442
Carson, CA 90745-2459

Phone 909-446-2556

Mailing address

21800 Avalon Blvd Unit 442
Carson, CA 90745-2459

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