Healthcare Provider Details

I. General information

NPI: 1326412768
Provider Name (Legal Business Name): UCHENNA WINIFRED ONWULI NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: UCHENNA WINIFRED ONYIA 1. FNP AND PMHNP

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12021 WILMINGTON AVE STE 100
LOS ANGELES CA
90059-3019
US

IV. Provider business mailing address

9808 VENICE BLVD STE 505
CULVER CITY CA
90232-6818
US

V. Phone/Fax

Practice location:
  • Phone: 562-295-4617
  • Fax:
Mailing address:
  • Phone: 310-945-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95008138
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: