Provider Demographics
NPI:1164600128
Name:ONUGHA, OSITA I (MD)
Entity Type:Individual
Prefix:
First Name:OSITA
Middle Name:I
Last Name:ONUGHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7381 LA TIJERA BLVD UNIT 46524
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-7044
Mailing Address - Country:US
Mailing Address - Phone:310-902-4113
Mailing Address - Fax:424-452-6069
Practice Address - Street 1:3831 HUGHES AVE STE 105
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-6834
Practice Address - Country:US
Practice Address - Phone:424-452-6068
Practice Address - Fax:424-452-6069
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA3902200X208600000X
CAA105537208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery