Provider Demographics
NPI:1912895590
Name:NURSING TREND CARE HEALTH CORPORATION
Entity type:Organization
Organization Name:NURSING TREND CARE HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP/CEO AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:OBIDI
Authorized Official - Middle Name:AJULUMOBI
Authorized Official - Last Name:OBIENU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:310-415-8723
Mailing Address - Street 1:7723 DALTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-2510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1510 W FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-2212
Practice Address - Country:US
Practice Address - Phone:310-415-8723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty