Healthcare Provider Details

I. General information

NPI: 1730952185
Provider Name (Legal Business Name): UZOMA VICTORIA OBI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 W 229TH ST
CARSON CA
90745-4601
US

IV. Provider business mailing address

424 W 229TH ST
CARSON CA
90745-4601
US

V. Phone/Fax

Practice location:
  • Phone: 562-547-4047
  • Fax:
Mailing address:
  • Phone: 562-547-4047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95020045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: