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Individual

IZUCHUKWU DANIEL OKPARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
28212 KELLY JOHNSON PKWY STE 200, VALENCIA, CA 91355-5090
(213) 228-3538
(818) 356-4380
Mailing address
25044 PEACHLAND AVE STE 110, NEWHALL, CA 91321-5730
(661) 383-7136
(818) 356-4380

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A126340
CA
208600000X
Surgery Physician
ME158300
FL
208600000X
Surgery Physician
R0292
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184992851
CA
01
CA246138
MEDICARE NORTH CALIFORNIA
CA
01
CB274828
MEDICARE SOUTH CALIFORNIA
CA
01
P01836601
MEDICARE RAILROAD
CA
Enumeration date
12/08/2011
Last updated
05/08/2024
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