MEDICARE: JOHN NOUBUEZE OJINMAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	A90877	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184665150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN NOUBUEZE OJINMAH MD

Provider Business Mailing Address
First Line	:	7716 ALDERWOOD AVE
Second Line	:
City	:	EASTVALE
State	:	CA
Zip	:	92880-8527
Country	:	US
Telephone Number	:	951-496-7670
Fax Number	:

Provider Business Practice Location Address
First Line	:	9990 COUNTY FARM RD
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3542
Country	:	US
Telephone Number	:	951-358-6185
Fax Number	:	951-358-6010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	10/21/2019

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