Healthcare Provider Details

I. General information

NPI: 1174844625
Provider Name (Legal Business Name): NNEOMA LILLY NJOKU PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14002 OCANA AVE
BELLFLOWER CA
90706-2533
US

IV. Provider business mailing address

14002 OCANA AVE
BELLFLOWER CA
90706-2533
US

V. Phone/Fax

Practice location:
  • Phone: 562-569-1302
  • Fax:
Mailing address:
  • Phone: 562-569-1302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95247314
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95040302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: