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1376286120 NPI number — DAVID ONUBUNDU NWACHUKWU JR. MD

NPI Number: 1376286120
Health Care Provider/Practitioner: DAVID ONUBUNDU NWACHUKWU JR. MD

Information about “1376286120” NPI (DAVID ONUBUNDU NWACHUKWU JR. MD) exists in 1376286120 in HTML format HTML  |  1376286120 in plain Text format TXT  |  1376286120 in PDF (Portable Document Format) PDF  |  1376286120 in an XML format XML  formats.

NPI Number : 1376286120 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376286120",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NWACHUKWU",
    "FirstName": "DAVID",
    "MiddleName": "ONUBUNDU",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NWACHUKWU",
    "OtherFirstName": "DAVY",
    "OtherMiddleName": "ONUBUNDU",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 31309",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90031-0309",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-457-6601",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1812 VERDUGO BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENDALE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91208-1407",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-790-7100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2022",
    "LastUpdateDate": "11/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "A200469",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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