Okonkwoaguolu, Jerry Azubuike

Okonkwoaguolu, Jerry Azubuike is an individual health care provider with primary practice located at 15603 Hawthorne Blvd , Lawndale CA 90260-2639. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Okonkwoaguolu, Jerry Azubuike can be contacted via phone (310) 644-4488.

Contact Information

Primary practice address
15603 Hawthorne Blvd Lawndale CA 90260-2639
Phone: (310) 644-4488
Fax: (310) 679-4035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A29427 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A29427 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A29427 California

Profile Details

NPI number 1134239932
LBN Legal business name Okonkwoaguolu, Jerry Azubuike
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134239932 NPPES
California MEDICAID A294270

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