Stella Agu in Culver City - Psychiatric/mental Health, Adult

Stella Agu - NPI 1164605796

Stella Agu is a Psychiatric/mental Health, Adult in Culver City, California. Stella Agu practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Stella Agu is 1164605796. The last update date is 2007-12-05.

Stella Agu's current location address is 9808 Venice Blvd Ste 700, Culver City, California. You can contact this provider via phone number 3109453350 and fax number 3108407023. The mailing address for Stella Agu is 9808 Venice Blvd Ste 700, Culver City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stella Agu
Address 9808 Venice Blvd Ste 700, Culver City, California
Phone Number 3109453350
Fax Number 3108407023
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1164605796
Provider Enumeration Date 2007-12-05
Last Updated Date 2007-12-05

Provider Mailing Address Detail

Address 9808 Venice Blvd Ste 700
City Culver City
State California (CA)
Post Code 902326824
Phone Number 3109453350
Fax Number 3108407023

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No 524939
Definition:
A psychiatric nurse who cares for adult patients.

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FAQs about Stella Agu

What is the unique 10-digit identification code issued to Stella Agu by the Centers for Medicare & Medicaid Services?

The Stella Agu has been assigned the NPI (National Provider Identifier) 1164605796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Stella Agu's physical address?

The Stella Agu is physically located at 9808 Venice Blvd Ste 700, in the city of Culver City, CA, with the postal code 902326824.

What is Stella Agu's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stella Agu is Psychiatric/mental Health, Adult, and the taxonomy classification code that categorizes this area of expertise is 163Wp0809X.

On what date did the Stella Agu receive the assignment of its 1164605796 from the Centers for Medicare & Medicaid Services?

The Stella Agu was issued its 1164605796 by the Centers for Medicare & Medicaid Services on 2007-12-05.

When was the information regarding Stella Agu, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stella Agu, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-05.

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