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

Osagie Obanor

Individual provider Specialist · NPI 1295220093

Osagie Obanor is a Specialist in Los Angeles, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 233-0425
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A164266 (CA)

Record details

NPI number1295220093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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