Healthcare Provider Details

I. General information

NPI: 1982515292
Provider Name (Legal Business Name): UJ INNER PEACE HEALTHCARE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 PINE AVE
LONG BEACH CA
90802-2327
US

IV. Provider business mailing address

1455 W REDONDO BEACH BLVD UNIT 3668
GARDENA CA
90247-6592
US

V. Phone/Fax

Practice location:
  • Phone: 805-876-4522
  • Fax: 607-228-4842
Mailing address:
  • Phone: 805-876-4522
  • Fax: 607-228-4842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: UGOCHI NNADOZIE
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: DNP, FNP-C, PMHNP-BC
Phone: 805-876-4522