Healthcare Provider Details

I. General information

NPI: 1932035672
Provider Name (Legal Business Name): VICTOR CHUKWUKA MOLOKWU II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 HIGHLAND AVE
NATIONAL CITY CA
91950-3517
US

IV. Provider business mailing address

5550 BALBOA ARMS DR APT 85
SAN DIEGO CA
92117-5057
US

V. Phone/Fax

Practice location:
  • Phone: 619-402-0194
  • Fax:
Mailing address:
  • Phone: 619-402-0194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number93449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: