Provider Demographics
NPI:1700414398
Name:ONYINYE OKEZIE MD INC
Entity Type:Organization
Organization Name:ONYINYE OKEZIE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-370-0777
Mailing Address - Street 1:500 OLD RIVER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9509
Mailing Address - Country:US
Mailing Address - Phone:661-370-0777
Mailing Address - Fax:661-654-8366
Practice Address - Street 1:500 OLD RIVER RD STE 110
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9509
Practice Address - Country:US
Practice Address - Phone:661-370-0777
Practice Address - Fax:661-654-8366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty