Organization
IZUCHUKWU OKPARA MD INC
Active
Other names
Omni Wound Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
IZUCHUKWU DANIEL OKPARA MD (PRESIDENT & CEO)
(213) 228-3538
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679004592
—
CA
01
—
CA245067
MEDICARE NORTH CALIFORNIA
CA
01
—
CB274157
MEDICARE SOUTH CALIFORNIA
CA
01
—
DX4098
MEDICARE RAILROAD
CA
Enumeration date
03/22/2017
Last updated
12/23/2024
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