Provider Demographics
NPI:1619058054
Name:NWOBU, CHIKA A II
Entity Type:Individual
Prefix:MISS
First Name:CHIKA
Middle Name:A
Last Name:NWOBU
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90018-1234
Mailing Address - Country:US
Mailing Address - Phone:626-332-1308
Mailing Address - Fax:626-332-1308
Practice Address - Street 1:2107 4TH AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90018-1234
Practice Address - Country:US
Practice Address - Phone:626-332-1308
Practice Address - Fax:626-332-1308
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Single Specialty