Provider Demographics
NPI:1922037613
Name:CALLIGAN-OGBODU, FHELICIA
Entity Type:Individual
Prefix:
First Name:FHELICIA
Middle Name:
Last Name:CALLIGAN-OGBODU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7325 MEDICAL CENTER DR STE 305
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-4126
Mailing Address - Country:US
Mailing Address - Phone:818-266-1229
Mailing Address - Fax:818-992-5440
Practice Address - Street 1:7325 MEDICAL CENTER DR STE 305
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4126
Practice Address - Country:US
Practice Address - Phone:818-266-1229
Practice Address - Fax:818-992-5440
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA641672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse