MEDICARE: DR. NWACHUKWU ANAKWENZE M.D.

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	207R00000X	Internal Medicine Physician	G50607	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	:	1255417309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NWACHUKWU ANAKWENZE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 88939
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90009-6939
Country	:	US
Telephone Number	:	310-677-4600
Fax Number	:	310-674-7793

Provider Business Practice Location Address
First Line	:	11149 CRENSHAW BLVD
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90303-2338
Country	:	US
Telephone Number	:	310-914-9150
Fax Number	:	310-914-9705

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	03/09/2026

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