Individual
MR. SAMUEL UCHECHUKWU CHILAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(844) 308-5003
Mailing address
3949 THORNBURGH PL, TORRANCE, CA 90504-1116
(323) 327-3167
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017483
CA
Other
Enumeration date
06/08/2021
Last updated
06/02/2023
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