Provider Demographics
NPI:1760621957
Name:OWUAMA, CHIKA
Entity Type:Individual
Prefix:MRS
First Name:CHIKA
Middle Name:
Last Name:OWUAMA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CHIKA
Other - Middle Name:
Other - Last Name:OWUAMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1725 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2316
Mailing Address - Country:US
Mailing Address - Phone:714-834-8600
Mailing Address - Fax:714-834-8643
Practice Address - Street 1:1725 W 17TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2316
Practice Address - Country:US
Practice Address - Phone:714-834-8600
Practice Address - Fax:714-834-8643
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker