Provider Type Icon

CHARLES I OKONKWO MD INC NPI 1215115704


NPI Information

NPI: 1215115704
Provider Name: CHARLES I OKONKWO MD INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
231 W VERNON AVE
SUITE 105
LOS ANGELES, CA
ZIP 90037
Phone: (323) 234-7200
Get Directions

CHARLES I OKONKWO MD INC is a cardiovascular disease internal medicine in Los Angeles, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CHARLES I OKONKWO MD INC NPI is 1215115704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

231 W VERNON AVE
SUITE 105
LOS ANGELES, CA
ZIP 90037-700
Phone: (323) 234-7200
Fax: (323) 234-1922

The provider's authorized official is Charles Ifeanyi Okonkwo .
The authorized official title is President and has the following contact phone number (323) 234-7200.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 4/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseA31084CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A87502MEDICARE UPINCALIFORNIA
200A310840MEDICAIDCALIFORNIA
3WA31084CMEDICARE PINCALIFORNIA
4W5103BOTHERCALIFORNIAMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.