Healthcare Provider Details

I. General information

NPI: 1942141759
Provider Name (Legal Business Name): EMO PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 ARCHIBALD AVE STE 312
RANCHO CUCAMONGA CA
91730-5703
US

IV. Provider business mailing address

4160 TEMESCAL CANYON RD STE 401
CORONA CA
92883-4626
US

V. Phone/Fax

Practice location:
  • Phone: 909-248-2459
  • Fax:
Mailing address:
  • Phone: 909-248-2459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EVA OKATCHA
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 909-248-2459