Healthcare Provider Details

I. General information

NPI: 1912829177
Provider Name (Legal Business Name): MACDONALD UCHENNA OROGWU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 W RANCHO VISTA BLVD STE D
PALMDALE CA
93551-3011
US

IV. Provider business mailing address

550 W RANCHO VISTA BLVD STE D
PALMDALE CA
93551-3011
US

V. Phone/Fax

Practice location:
  • Phone: 442-600-4466
  • Fax:
Mailing address:
  • Phone: 442-600-4466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License NumberRCP36191
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License NumberRCP36191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: