| Akalaka Nursing Care Group Inc | |
|
2917 W Vernon Ave # B Los Angeles CA 90008-4714 | |
| (323) 426-5200 | |
| Not Available |
| Full Name | Akalaka Nursing Care Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2917 W Vernon Ave # B, Los Angeles, California |
| Authorized Official Name and Position | Calista E Ezeokoye (PRESIDENT) |
| Authorized Official Contact | 3234265200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Akalaka Nursing Care Group Inc 1338 East Denway Drive Carson CA 90746 Ph: (323) 426-5200 | Akalaka Nursing Care Group Inc 2917 W Vernon Ave # B Los Angeles CA 90008-4714 Ph: (323) 426-5200 |
| NPI Number | 1801486261 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 8527473537 |
|---|---|
| Medicare Enrollment ID | O20210224000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801486261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Miriam N Ofili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568899193 PECOS PAC ID: 2961710918 Enrollment ID: I20150924002937 |
| Provider Name | Calista E Ezeokoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003279118 PECOS PAC ID: 1254697824 Enrollment ID: I20200402000429 |
| Provider Name | Chinua Ukwuani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669092698 PECOS PAC ID: 1153702899 Enrollment ID: I20220713000988 |
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