MEDICARE: EZINNE KALU

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95038386	CA

General Provider Information

NPI Number	:	1730030073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EZINNE KALU

Provider Business Mailing Address
First Line	:	6005 TILLMAN CT
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-4765
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 TILLMAN CT
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-4765
Country	:	US
Telephone Number	:	925-336-1387
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ EZINNE KALU ” Practice Location

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