# VISCERA MEDICAL DIAGNOSTICS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730497728
- **Authorized official:** BONIFACE O ONUBAH M.D. (PRESIDENT)
- **Authorized official phone:** (818) 342-0701

## Contact information

- **Practice address:** 16927 VANOWEN ST, STE 4, VAN NUYS, CA 91406-4591
- **Practice address phone:** (818) 342-0701
- **Practice address fax:** (818) 342-0702
- **Mailing address:** 16927 VANOWEN ST, STE 4, VAN NUYS, CA 91406-4591
- **Mailing address phone:** (818) 342-0701
- **Mailing address fax:** (818) 342-0702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010