| Mrs Jane Ogechi Agu, FNP | |
|
9808 Venice Blvd, Culver City, CA 90232 | |
| (310) 945-3350 | |
| Not Available |
| Full Name | Mrs Jane Ogechi Agu |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 9808 Venice Blvd, Culver City, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013375211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95002667 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | NP95002667 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chino Valley Medical Center | Chino, CA | Hospital |
| Montclair Hospital Medical Center | Montclair, CA | Hospital |
| Desert Valley Hospital | Victorville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance For Wellness Inc | 9931355617 | 57 |
| Entity Name | Alliance For Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124329131 PECOS PAC ID: 9931355617 Enrollment ID: O20120813000228 |
| Entity Name | T H E Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023287679 PECOS PAC ID: 5294882924 Enrollment ID: O20140508000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jane Ogechi Agu, FNP 9808 Venice Blvd, Culver City, CA 90232-2732 Ph: (310) 945-3350 | Mrs Jane Ogechi Agu, FNP 9808 Venice Blvd, Culver City, CA 90232 Ph: (310) 945-3350 |
Mrs. Alexandra Bilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-494-6621 | |
Peter Daniel Radulescu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Rayhanatou Barry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6009 Washington Blvd, Culver City, CA 90232 Phone: 310-985-7888 | |
Chukwuemeka Kingsley Ilomuanya, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Suite 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Noah Kojo Peter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Paul Pham Araullo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 |