Provider Demographics
NPI:1003463100
Name:ONWENNA, RITA OZIOMA (DNP, RN, NP)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:OZIOMA
Last Name:ONWENNA
Suffix:
Gender:F
Credentials:DNP, RN, NP
Other - Prefix:DR
Other - First Name:RITA
Other - Middle Name:OZIOMA
Other - Last Name:ONWENNA-ANINYEI; OSAJI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:123 S. MONTEBELLO BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4729
Mailing Address - Country:US
Mailing Address - Phone:323-314-2869
Mailing Address - Fax:323-887-3126
Practice Address - Street 1:123 S. MONTEBELLO BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4729
Practice Address - Country:US
Practice Address - Phone:323-314-2869
Practice Address - Fax:323-887-3126
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17442363LP0808X, 363L00000X, 363LF0000X
CA555445163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily