MEDICARE: MRS. OZIOMACHUKWU MCGEE

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	310400000X	Assisted Living Facility	198603875	CA

General Provider Information

NPI Number	:	1942172838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OZIOMACHUKWU MCGEE

Provider Business Mailing Address
First Line	:	800 E 82ND ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-3224
Country	:	US
Telephone Number	:	213-419-8817
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 82ND ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-3224
Country	:	US
Telephone Number	:	213-419-8817
Fax Number	:

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

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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