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NPI Code Detail

MEDICARE: MR. CHRISTIAN E OKOYE

MEDICARE: MR. CHRISTIAN E 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95004477CA

General Provider Information

NPI Number : 1699814228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTIAN E OKOYE
Provider Business Mailing Address
First Line : 1733 W 165TH PL # B
Second Line :
City : GARDENA
State : CA
Zip : 90247-4722
Country : US
Telephone Number : 714-749-0475
Fax Number :
Provider Business Practice Location Address
First Line : 450 BAUCHET ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-2907
Country : US
Telephone Number : 213-893-5481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/21/2022

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Directions to “ MR. CHRISTIAN E OKOYE ” Practice Location

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