MEDICARE: IJEOMA ONYEJIJI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95015575	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225630767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IJEOMA ONYEJIJI

Provider Business Mailing Address
First Line	:	511 N HOLLYWOOD WAY
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-3406
Country	:	US
Telephone Number	:	818-841-0710
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 E SANDPOINT CT
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-1527
Country	:	US
Telephone Number	:	323-516-5023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	04/02/2026

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Directions to “ IJEOMA ONYEJIJI ” Practice Location

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