Organization
EZIM EZIM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKA OGUAGHA PMHNP (OWNER)
(201) 500-6992
Entity
Organization
Contact information
Practice address
16240 CARMINE ST, FONTANA, CA 92336-1481
(201) 500-6992
(833) 605-4359
Mailing address
16240 CARMINE ST, FONTANA, CA 92336-1481
(201) 500-6992
(833) 605-4359
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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