Provider Demographics
NPI:1376839795
Name:ONAYEMI, CARLA MARCELLA (LVN)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:MARCELLA
Last Name:ONAYEMI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 W CARSON ST
Mailing Address - Street 2:#6
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6061
Mailing Address - Country:US
Mailing Address - Phone:323-715-0086
Mailing Address - Fax:
Practice Address - Street 1:2940 WEST CARSON ST
Practice Address - Street 2:#6
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6061
Practice Address - Country:US
Practice Address - Phone:323-715-0086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA210330164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse