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

Mary Enyi Udengwu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770816373

Mary Enyi Udengwu is a Nurse Practitioner in Culver City, California. Qualified in 2009, 17 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2009

Practice location Address checks out

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 — (559) 453-1008
  • 265 S Anita Dr Ste 102-104, Orange, CA 92868-3355 — (714) 410-3500

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 19405 (CA)

Record details

NPI number1770816373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2009
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Culver City