Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Ugochi Otegbulu, NP

Individual provider Family Nurse Practitioner · NPI 1073142121

Angela Ugochi Otegbulu, NP is a Nurse Practitioner in Gardena, California. Qualified in 2022, 4 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

13812 Spinning Ave
Gardena, CA 90249-2365
Phone: (310) 529-4211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Done Address: 2029 Century Park East, Suite 400, Los Angeles, CA 90067 — (310) 529-4211

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95014215 (CA)

Record details

NPI number1073142121
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESOctober 26, 2023
Certification dateOctober 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Gardena