Provider Demographics
NPI:1396545125
Name:KALU, OFUCHE (DC)
Entity type:Individual
Prefix:DR
First Name:OFUCHE
Middle Name:
Last Name:KALU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:OFFY
Other - Middle Name:
Other - Last Name:KALU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:12457 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2411
Mailing Address - Country:US
Mailing Address - Phone:408-981-7444
Mailing Address - Fax:
Practice Address - Street 1:12457 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2411
Practice Address - Country:US
Practice Address - Phone:408-981-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor