Healthcare Provider Details

I. General information

NPI: 1851220859
Provider Name (Legal Business Name): NOREVX MEDICAL PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25044 PEACHLAND AVE STE 209
NEWHALL CA
91321-5751
US

IV. Provider business mailing address

25044 PEACHLAND AVE STE 110
NEWHALL CA
91321-5730
US

V. Phone/Fax

Practice location:
  • Phone: 409-370-8507
  • Fax:
Mailing address:
  • Phone: 409-370-8507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: IZUCHUKWU OKPARA
Title or Position: OWNER
Credential: MD
Phone: 409-370-8507