Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A154569 | CA |
NPI | 1013334143 |
---|---|
Provider Name | Tobechi Okoronkwo |
First Address | Los Angeles, CA 90046-7927 |
Second Address | Oakland, CA 94602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 26/06/2018 |