IndividualActive
Agnes Abongwa
NPI 1154837912 · Psychiatric/Mental Health Registered Nurse · Culver City, CA
Provider details
- NPI number
- 1154837912
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 620884 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
9808 Venice Blvd Ste 201
Culver City, CA 90232-2732
Phone: (310) 945-3350
Fax: (310) 945-3356
Approximate (ZIP-level) locationGet directions
Mailing address
9808 Venice Blvd Ste 505
Culver City, CA 90232-6818
Registry dates
- Enumerated
- 2017-12-15
- Last updated
- 2017-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.