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General NPI Number Information
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NPI Number | 1790064913
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Entity Type | Individual
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Provider Name | UCHENNA OGBOZOR M.D
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Gender | Male
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST HARBOR-UCLA/LA BIOMED RB-1 BUILDING
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 310-222-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 GRAHAM AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2246
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Country | US
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Telephone | 310-437-3825
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A117143
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 15797
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A117143
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License Number State | CA
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