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General NPI Number Information
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NPI Number | 1407318355
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Entity Type | Individual
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Provider Name | PATRICIA OGUDE
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1100 S GROVE AVE # 7
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City | ONTARIO
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State | CA
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Zip | 91761-4572
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Country | US
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Telephone | 909-673-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 11660 CHURCH ST APT 570
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0502
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Country | US
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Telephone | 404-468-4777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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License Number | 95028349
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | 95028349
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1028197
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License Number State | TX
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