# NOVAXIS HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novaxis LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174136899
- **Authorized official:** DR. JOY EKWUEME MD (OWNER)
- **Authorized official phone:** (310) 363-0322

## Contact information

- **Practice address:** 8540 S SEPULVEDA BLVD STE 120, LOS ANGELES, CA 90045-3807
- **Practice address phone:** (310) 363-0322
- **Practice address fax:** (309) 326-4624
- **Mailing address:** 8540 S SEPULVEDA BLVD STE 120, LOS ANGELES, CA 90045-3807
- **Mailing address phone:** (310) 363-0322
- **Mailing address fax:** (309) 326-4624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 01/30/2022