Healthcare Provider Details

I. General information

NPI: 1851261440
Provider Name (Legal Business Name): AKACHI AZUBUIKE MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 EUCLID CRES E
UPLAND CA
91784-1135
US

IV. Provider business mailing address

2508 EUCLID CRES E
UPLAND CA
91784-1135
US

V. Phone/Fax

Practice location:
  • Phone: 909-217-5427
  • Fax: 213-410-5188
Mailing address:
  • Phone: 909-217-5427
  • Fax: 213-410-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AKACHI C AZUBUIKE
Title or Position: PRESIDENT
Credential: MD
Phone: 909-217-5427