Provider Demographics
NPI:1962629675
Name:CHUKWU, JULIUS ENYERIBE (BSC(HONS))
Entity Type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:ENYERIBE
Last Name:CHUKWU
Suffix:
Gender:M
Credentials:BSC(HONS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18303 TOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-1836
Mailing Address - Country:US
Mailing Address - Phone:310-327-3373
Mailing Address - Fax:310-676-8113
Practice Address - Street 1:13325 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5802
Practice Address - Country:US
Practice Address - Phone:310-676-8030
Practice Address - Fax:310-676-8113
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)