MEDICARE: LEONE CHIDUBEM NWABUEZE

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	163W00000X	Registered Nurse	95284142	CA

General Provider Information

NPI Number	:	1598571796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONE CHIDUBEM NWABUEZE

Provider Business Mailing Address
First Line	:	222 S HARBOR BLVD STE 400
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-3743
Country	:	US
Telephone Number	:	714-517-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 S HARBOR BLVD STE 400
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-3743
Country	:	US
Telephone Number	:	714-517-6300
Fax Number	:

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

Provider Enumeration Date	:	12/04/2024
Last Update Date	:	01/20/2026

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