MEDICARE: HUMU HEALTH INC

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	261Q00000X	Clinic/Center
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1932863982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMU HEALTH INC

Provider Business Mailing Address
First Line	:	2401 WATERMAN BLVD STE A4-275
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-1800
Country	:	US
Telephone Number	:	707-673-2515
Fax Number	:	855-870-7558

Provider Business Practice Location Address
First Line	:	1261 TRAVIS BLVD STE 375
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-4811
Country	:	US
Telephone Number	:	707-673-2515
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	DR. OLUKEMI A KUKU
Credential	:	DNP
Telephone Number	:	707-673-2515

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	09/30/2025

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Directions to “HUMU HEALTH INC ” Practice Location

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