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

Individual provider Licensed Psychiatric Technician · NPI 1588174742

Phyllis Agu, LPT is a Licensed Psychiatric Technician in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

710 E 111th Pl
Los Angeles, CA 90059-1518
Phone: (323) 233-0425
Fax: (323) 232-2366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 40071 (CA)

Record details

NPI number1588174742
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPT
Sole proprietorNo
NPI enumeratedOctober 2, 2017
Last updated in NPPESOctober 2, 2017
Mailing address4211 Avalon Blvd, Los Angeles, CA 90011-5622

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