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NPI Code Detail

MEDICARE: IZUCHUKWU OKPARA MD INC

MEDICARE: IZUCHUKWU OKPARA MD INC
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
1208600000XSurgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DX4098OTHERCAMEDICARE RAILROAD
2CA245067OTHERCAMEDICARE NORTH CALIFORNIA
3CB274157OTHERCAMEDICARE SOUTH CALIFORNIA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679004592
Entity Type Code : Organization
Provider Name (Legal Business Name) : IZUCHUKWU OKPARA MD INC
Provider Business Mailing Address
First Line : 25044 PEACHLAND AVE STE 110
Second Line :
City : NEWHALL
State : CA
Zip : 91321-5730
Country : US
Telephone Number : 661-383-7136
Fax Number : 818-356-4380
Provider Business Practice Location Address
First Line : 28212 KELLY JOHNSON PKWY STE 200
Second Line :
City : VALENCIA
State : CA
Zip : 91355-5090
Country : US
Telephone Number : 213-228-3538
Fax Number : 818-356-4380
Authorized Official
Title or Position : PRESIDENT & CEO
Name : IZUCHUKWU DANIEL OKPARA
Credential : MD
Telephone Number : 213-228-3538
Provider Enumeration Date : 03/22/2017
Last Update Date : 12/23/2024

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Directions to “IZUCHUKWU OKPARA MD INC ” Practice Location

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