Provider Demographics
NPI:1245247980
Name:OKAFOR, ESTHER AZUKA
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:AZUKA
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 ARTESIA BLVD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504
Mailing Address - Country:US
Mailing Address - Phone:310-324-3899
Mailing Address - Fax:310-324-4013
Practice Address - Street 1:2050 ARTESIA BLVD
Practice Address - Street 2:SUITE #101
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504
Practice Address - Country:US
Practice Address - Phone:310-324-3899
Practice Address - Fax:310-324-4013
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABVS0100053332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4410420001Medicare ID - Type Unspecified