Chukwuemeka Kingsley Okoro, MD | |
19950 Rinaldi St Ste 300, Porter Ranch, CA 91326-4141 | |
(310) 301-6800 | |
Not Available |
Full Name | Chukwuemeka Kingsley Okoro |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 19950 Rinaldi St Ste 300, Porter Ranch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992202329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A165232 (California) | Primary |
Entity Name | Ucla Radiology Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026 |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Entity Name | Silicon Valley Diagnostic Imaging Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629265806 PECOS PAC ID: 5496838518 Enrollment ID: O20080213000359 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538 |
Entity Name | Silicon Valley Medical Development Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617 |
Entity Name | Martin Luther King Jr Community Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
Entity Name | Golden State Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
Mailing Address | Practice Location Address |
---|---|
Chukwuemeka Kingsley Okoro, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Chukwuemeka Kingsley Okoro, MD 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326-4141 Ph: (310) 301-6800 |