Ikele, Theo

Ikele, Theo is an individual health care provider with primary practice located at 16260 Ventura Blvd Ste 630 , Encino CA 91436-2255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Ikele, Theo can be contacted via phone (747) 998-0387.

Contact Information

Primary practice address
16260 Ventura Blvd Ste 630 Encino CA 91436-2255
Phone: (747) 998-0387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95008566 California

Profile Details

NPI number 1871088518
LBN Legal business name Ikele, Theo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Jun 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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