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Contact Information

IMMACULATA O ABAEKOBE
9808 VENICE BLVD STE 700
CULVER CITY, CA90232-6824
 Phone: 310-945-3350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for IMMACULATA O ABAEKOBE · (Female)

NPI # 1336871136
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2022
Last updated 06/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 95281101
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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