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NPI Code Detail

MEDICARE: GREGORY OKOYE

MEDICARE: GREGORY OKOYE
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1225331705
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY OKOYE
Provider Business Mailing Address
First Line : 3505 LONG BEACH BLVD STE 1F
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3946
Country : US
Telephone Number : 562-988-3436
Fax Number :
Provider Business Practice Location Address
First Line : 3505 LONG BEACH BLVD STE 1F
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3946
Country : US
Telephone Number : 562-988-3436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2010
Last Update Date : 12/06/2010

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Directions to “ GREGORY OKOYE ” Practice Location

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