Healthcare Provider Details
I. General information
NPI: 1134082167
Provider Name (Legal Business Name): VUAM MEDICAL CARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10900 LOS ALAMITOS BLVD STE 215
LOS ALAMITOS CA
90720-5672
US
IV. Provider business mailing address
10900 LOS ALAMITOS BLVD STE 215
LOS ALAMITOS CA
90720-5672
US
V. Phone/Fax
- Phone: 714-766-3344
- Fax: 714-766-3344
- Phone: 714-766-3344
- Fax: 714-766-3344
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ENYINNAYA
C
OZOGU
Title or Position: CEO
Credential: NP
Phone: 818-585-5632