Okpara, Douglas Egeonu

Okpara, Douglas Egeonu is an sole proprietor health care provider with primary practice located at 19301 S Santa Fe Ave Suite 120, Compton CA 90221-5920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Okpara, Douglas Egeonu can be contacted via phone (310) 631-5655.

Contact Information

Primary practice address
19301 S Santa Fe Ave Suite 120 Compton CA 90221-5920
Phone: (310) 631-5655
Fax: (310) 631-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G53444 California

Profile Details

NPI number 1629111018
LBN Legal business name Okpara, Douglas Egeonu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 9th, 2007 - about 18 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 1629111018 NPPES
California MEDICAID 00G534440

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