Provider Demographics
NPI:1568191542
Name:CHUQUI OWENS, NELLY KARINA (MD)
Entity Type:Individual
Prefix:
First Name:NELLY
Middle Name:KARINA
Last Name:CHUQUI OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NELLY
Other - Middle Name:KARINA
Other - Last Name:CHUQUI MEDINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23756 COLDWATER CT
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-2863
Mailing Address - Country:US
Mailing Address - Phone:415-424-7981
Mailing Address - Fax:
Practice Address - Street 1:26520 CACTUS AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-3927
Practice Address - Country:US
Practice Address - Phone:951-486-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program