Provider Demographics
NPI:1205156064
Name:OSEI-AKOSA, JUSTINIAN
Entity type:Individual
Prefix:MR
First Name:JUSTINIAN
Middle Name:
Last Name:OSEI-AKOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 E CHAPMAN AVE # 203
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3808
Mailing Address - Country:US
Mailing Address - Phone:714-680-9000
Mailing Address - Fax:714-680-8207
Practice Address - Street 1:802 E CHAPMAN AVE # 203
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3808
Practice Address - Country:US
Practice Address - Phone:714-680-9000
Practice Address - Fax:714-680-8207
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health