Provider Demographics
NPI:1356548093
Name:OJUKWU, CHINWE STELLA (MD)
Entity type:Individual
Prefix:DR
First Name:CHINWE
Middle Name:STELLA
Last Name:OJUKWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11306 MOUNTAIN VIEW AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3832
Mailing Address - Country:US
Mailing Address - Phone:310-946-1221
Mailing Address - Fax:
Practice Address - Street 1:11306 MOUNTAIN VIEW AVE
Practice Address - Street 2:SUITE E
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3832
Practice Address - Country:US
Practice Address - Phone:310-946-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102676208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics