Healthcare Provider Details

I. General information

NPI: 1750175147
Provider Name (Legal Business Name): JULIE JURI OKU FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 W PICO BLVD
LOS ANGELES CA
90006-5011
US

IV. Provider business mailing address

2030 W PICO BLVD
LOS ANGELES CA
90006-5011
US

V. Phone/Fax

Practice location:
  • Phone: 213-839-5455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number816210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: