Healthcare Provider Details

I. General information

NPI: 1487450003
Provider Name (Legal Business Name): CHIOMA OBIJIOFOR OKARO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 BLOOMFIELD AVE
NORWALK CA
90650-2015
US

IV. Provider business mailing address

12350 DEL AMO BLVD APT 104
LAKEWOOD CA
90715-1701
US

V. Phone/Fax

Practice location:
  • Phone: 562-440-6531
  • Fax:
Mailing address:
  • Phone: 562-440-6531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95032060
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number95235746
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: