Most Relevant Information
Provider Data
| NPI Number: | 1003279118 |
| Provider Name: | CALISTA E EZEOKOYE |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 95003322 |
Most Important Dates
| Enumeration Date: | 04/05/2016 |
| Last Updated: | 05/03/2023 |
Provider Practice Location
2917 W VERNON AVE # B
LOS ANGELES
CA
900084714
Practice Location Phone/Fax
| Phone: | 3234265200 |
| Fax: |
Provider Mailing Location
1338 E DENWALL DR STE 200
CARSON
CA
907463156
Provider Mailing Phone/Fax
| Phone: | 3234265200 |
| Fax: | 3234265252 |