MEDICARE: IFEOMA CHINENYE OKWUOSA

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	95361141	CA

General Provider Information

NPI Number	:	1861348229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IFEOMA CHINENYE OKWUOSA

Provider Business Mailing Address
First Line	:	748 SPYGLASS CT
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-5156
Country	:	US
Telephone Number	:	714-873-3445
Fax Number	:

Provider Business Practice Location Address
First Line	:	748 SPYGLASS CT
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-5156
Country	:	US
Telephone Number	:	714-873-3445
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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