Provider Demographics
NPI:1821271289
Name:ONWUNYI, CHUKWUELOKA CHIEZIE (DPT, PT)
Entity Type:Individual
Prefix:DR
First Name:CHUKWUELOKA
Middle Name:CHIEZIE
Last Name:ONWUNYI
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:ELOKA
Other - Middle Name:CHIEZIE
Other - Last Name:ONWUNYI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:4060 GLENCOE AVE
Mailing Address - Street 2:#212
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5880
Mailing Address - Country:US
Mailing Address - Phone:310-901-3426
Mailing Address - Fax:
Practice Address - Street 1:2670 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-7058
Practice Address - Country:US
Practice Address - Phone:310-901-3426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-08
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33899225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist