FOLASADE AGNES SANNI-AWAL


Address: 4867 W 21st St, Los Angeles, CA 90016-2347
Phone: 3105271751

FOLASADE AGNES SANNI-AWAL (NPI# 1679723944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679723944
Entity Type Individual
Full Name FOLASADE AGNES SANNI-AWAL
Credential RN.
Practice Address 4867 W 21st St
Los Angeles
CA 90016-2347
Mailing Address 21151 S Western Ave
Torrance
CA 90501-1724
Practice Telephone 3105271751
Mailing Telephone 3105271751
Enumeration Date 2008-09-24
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH1000X Registered Nurse
Specialization: Hospice
680436 CA Nursing Service Providers

Office Location

Street Address 4867 W 21ST ST
City LOS ANGELES
State CA
Zip Code 90016-2347

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Taxonomy Information

Taxonomy Code 163WH1000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Hospice

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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