Provider Demographics
NPI:1659970127
Name:ONUMONU, CHUKWUMA CHIEDU (RPH)
Entity Type:Individual
Prefix:DR
First Name:CHUKWUMA
Middle Name:CHIEDU
Last Name:ONUMONU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10987 DEER CANYON DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-2487
Mailing Address - Country:US
Mailing Address - Phone:909-532-0660
Mailing Address - Fax:
Practice Address - Street 1:914 FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3308
Practice Address - Country:US
Practice Address - Phone:626-441-3702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist