Provider Demographics
NPI:1417840299
Name:OGANA, NGOZI
Entity type:Individual
Prefix:
First Name:NGOZI
Middle Name:
Last Name:OGANA
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 1:1550 BROADSTONE PKWY APT 3317
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6877
Mailing Address - Country:US
Mailing Address - Phone:279-842-8462
Mailing Address - Fax:
Practice Address - Street 1:1550 BROADSTONE PKWY APT 3317
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6877
Practice Address - Country:US
Practice Address - Phone:279-842-8462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01326845374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide