Healthcare Provider Details

I. General information

NPI: 1841659174
Provider Name (Legal Business Name): FRANCIS CHUKWUEMEKA OBI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 E VERNON AVE SUITE F
LOS ANGELES CA
90011
US

IV. Provider business mailing address

8820 SEPULVEDA EASTWAY APT 418
LOS ANGELES CA
90045
US

V. Phone/Fax

Practice location:
  • Phone: 323-233-9686
  • Fax: 323-233-0595
Mailing address:
  • Phone: 310-906-8039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A20617
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: