Provider Demographics
NPI:1831996982
Name:CHUKWUKA AKAMNONU MD INC
Entity type:Organization
Organization Name:CHUKWUKA AKAMNONU MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUKWUKA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAMNONU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-422-9624
Mailing Address - Street 1:2815 S MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-2533
Mailing Address - Country:US
Mailing Address - Phone:951-951-0599
Mailing Address - Fax:
Practice Address - Street 1:2815 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-2533
Practice Address - Country:US
Practice Address - Phone:951-951-0599
Practice Address - Fax:877-673-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty