Provider Demographics
NPI:1144001447
Name:VEROSYL PROFESSIONAL NURSING CORPORATION
Entity type:Organization
Organization Name:VEROSYL PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:OFOEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:562-650-5481
Mailing Address - Street 1:10733 ELGERS ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2604
Mailing Address - Country:US
Mailing Address - Phone:562-650-5481
Mailing Address - Fax:
Practice Address - Street 1:2338 E ANAHEIM ST # 200A-A
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-5730
Practice Address - Country:US
Practice Address - Phone:562-650-5481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty