Organization
NOVAXIS HEALTHCARE INC
Active
Other names
Novaxis LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOY EKWUEME MD (OWNER)
(310) 363-0322
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD STE 120, LOS ANGELES, CA 90045-3807
(310) 363-0322
(309) 326-4624
Mailing address
8540 S SEPULVEDA BLVD STE 120, LOS ANGELES, CA 90045-3807
(310) 363-0322
(309) 326-4624
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB374220
—
CA
05
—
CB374221
—
CA
05
—
CB374312
—
CA
Enumeration date
08/24/2020
Last updated
01/30/2022
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