Provider Demographics
NPI:1659690733
Name:NWAJUAKU, PATRICIA IFEOMA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:IFEOMA
Last Name:NWAJUAKU
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:757 WESTWOOD PLZ STE 3325
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8358
Practice Address - Country:US
Practice Address - Phone:310-267-8626
Practice Address - Fax:310-267-3899
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC155730207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RES000Medicare UPIN