Search › California › 364S00000X

Jacobett Wasonga-Agak, DNP, CNS, RN

NPI 1932924230 · on the registry since 2024

Practice

Address
15107 Vanowen St
Van Nuys, CA 91405
Phone
(818) 205-7137
Organisation at this address
Sanani Medcorp
Peter Liu, Md, Inc
Erna Kwong M.D. Inc.
R. Shamtob, M.D.,Inc.
S. Jalali, M.D., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
93

Registry record

Primary taxonomy
364S00000X
364S00000X
Also registered as
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California