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NPI Code Detail

MEDICARE: IZUCHUKWU OKPARA MD, P.A.

MEDICARE: IZUCHUKWU OKPARA MD, P.A.
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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1457047722
Entity Type Code : Organization
Provider Name (Legal Business Name) : IZUCHUKWU OKPARA MD, P.A.
Provider Business Mailing Address
First Line : 25044 PEACHLAND AVE STE 110
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91321-5730
Country : US
Telephone Number : 661-934-0873
Fax Number : 818-356-4380
Provider Business Practice Location Address
First Line : 1111 SW 1ST AVE APT 1922N
Second Line :
City : MIAMI
State : FL
Zip : 33130-5406
Country : US
Telephone Number : 213-228-3538
Fax Number : 818-356-4380
Authorized Official
Title or Position : PRESIDENT & CEO
Name : IZUCHUKWU OKPARA
Credential : MD
Telephone Number : 213-228-3538
Provider Enumeration Date : 04/11/2023
Last Update Date : 04/26/2024

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Directions to “IZUCHUKWU OKPARA MD, P.A. ” Practice Location

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