1477483741 NPI number — MID-CITY BEHAVIORAL HEALTH NURSING INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477483741 NPI number — MID-CITY BEHAVIORAL HEALTH NURSING INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MID-CITY BEHAVIORAL HEALTH NURSING INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477483741
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
816 E CALBAS ST # C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARSON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90745-3314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-340-5289
Provider Business Mailing Address Fax Number:
714-333-4165

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
816 E CALBAS ST # C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARSON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90745-3314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-340-5289
Provider Business Practice Location Address Fax Number:
714-333-4165
Provider Enumeration Date:
05/20/2026

Additional Information

Authorized Official

Authorized Official Last Name:
NWANKWO
Authorized Official First Name:
CHINEDU
Authorized Official Middle Name:
EMMANUEL
Authorized Official Title or Position:
PSYCHIATRIC NURSE PRACTITIONER
Authorized Official Telephone Number:
562-340-5289

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com