Healthcare Provider Details

I. General information

NPI: 1366032260
Provider Name (Legal Business Name): SYLVIA OKOJI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7675 MISSION VALLEY RD
SAN DIEGO CA
92108-4429
US

IV. Provider business mailing address

7675 MISSION VALLEY RD
SAN DIEGO CA
92108-4429
US

V. Phone/Fax

Practice location:
  • Phone: 562-728-3052
  • Fax:
Mailing address:
  • Phone: 562-728-3052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01099100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: