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Contact Information

JERRY A OKONKWOAGUOLU MD
15603 HAWTHORNE BLVD
LAWNDALE, CA90260-2639
 Phone: 310-644-4488
 Fax: 310-679-4035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JERRY A OKONKWOAGUOLU MD

NPI Number 1730490137
LBN Legal business name JERRY A OKONKWOAGUOLU MD
Authorized official JERRY OKONKWOAGUOLU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2010
Last updated 08/03/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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