Healthcare Provider Details

I. General information

NPI: 1164840708
Provider Name (Legal Business Name): MS. UCHENNA BARBARA OKOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 07/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 WESTWOOD PLAZA UCLA PSYCHIATRY RES ED OFFICE
LOS ANGELES CA
90024
US

IV. Provider business mailing address

760 WESTWOOD PLAZA UCLA PSYCHIATRY RES ED OFFICE
LOS ANGELES CA
90024
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-0548
  • Fax:
Mailing address:
  • Phone: 310-825-0548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA140022
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: