Provider Demographics
NPI:1689831687
Name:ODUCHE, MARGARET OGOCHUKWU (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:OGOCHUKWU
Last Name:ODUCHE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:OGO
Other - Middle Name:M
Other - Last Name:MADUMERE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8312 TOPEKA DR
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4424
Mailing Address - Country:US
Mailing Address - Phone:818-317-4222
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA513716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily