| Ifeoma Nwufor, FNP/PMHNP-BC | |
|
1204 W Gardena Blvd Ste B, Gardena, CA 90247-5923 | |
| (310) 767-7833 | |
| Not Available |
| Full Name | Ifeoma Nwufor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1204 W Gardena Blvd Ste B, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801325949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95006219 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95006219 (California) | Primary |
| Entity Name | Dadoyan Behavioral Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687878 PECOS PAC ID: 8325358054 Enrollment ID: O20151110001294 |
| Entity Name | Pioneer Home Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891311833 PECOS PAC ID: 4486042199 Enrollment ID: O20211029001830 |
| Entity Name | Healing Hands Wound Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134864622 PECOS PAC ID: 7719409564 Enrollment ID: O20250320003395 |
| Mailing Address | Practice Location Address |
|---|---|
| Ifeoma Nwufor, FNP/PMHNP-BC 17817 Hazelwood Ct, Carson, CA 90746-7481 Ph: (424) 653-7426 | Ifeoma Nwufor, FNP/PMHNP-BC 1204 W Gardena Blvd Ste B, Gardena, CA 90247-5923 Ph: (310) 767-7833 |
Starly Alvarado, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730 | |
Blessing Otaniyen Omoruyi, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1229 W 164th St Apt D, Gardena, CA 90247 Phone: 323-674-3445 Fax: 323-544-4319 | |
Jina Ko Yang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1149 W 190th St, Gardena, CA 90248 Phone: 310-851-4705 | |
Courtney Lynn Flores, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200 | |
Selali Ziga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15116 S Raymond Ave Apt 106, Gardena, CA 90247 Phone: 909-576-0190 | |
Ms. Adaljiza Tavera, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 | |
Anna Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15803 S Maple Ave, Gardena, CA 90248 Phone: 310-469-4273 |