Provider Demographics
NPI:1255613386
Name:OJOSE, MAUREEN (RN, BSN, MSN, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:OJOSE
Suffix:
Gender:F
Credentials:RN, BSN, MSN, PMHNP
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:AKPOFURE OJOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, MSN, PMHNP
Mailing Address - Street 1:5201 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-3527
Mailing Address - Country:US
Mailing Address - Phone:323-751-2677
Mailing Address - Fax:323-751-0971
Practice Address - Street 1:5201 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-3527
Practice Address - Country:US
Practice Address - Phone:310-537-9780
Practice Address - Fax:310-537-9753
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA625573363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner