Healthcare Provider Details

I. General information

NPI: 1821341777
Provider Name (Legal Business Name): ANGEL O NWOCHIE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2012
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SANTA FE AVE
LONG BEACH CA
90813-1200
US

IV. Provider business mailing address

1700 SANTA FE AVE
LONG BEACH CA
90813-1200
US

V. Phone/Fax

Practice location:
  • Phone: 323-359-8795
  • Fax: 805-468-8072
Mailing address:
  • Phone: 323-359-8795
  • Fax: 805-468-8072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number21899
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: