Provider Demographics
NPI:1588909972
Name:CHUKWURAH, ESTHER UZOAMAKA
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:UZOAMAKA
Last Name:CHUKWURAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N. BEAUDRY AVE. ROYBAL ANNEX
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2009
Mailing Address - Country:US
Mailing Address - Phone:213-202-7580
Mailing Address - Fax:213-580-6558
Practice Address - Street 1:121 N. BEAUDRY AVE, ROYBAL ANNEX
Practice Address - Street 2:
Practice Address - City:LOS ANGELES,
Practice Address - State:CA
Practice Address - Zip Code:90012-2009
Practice Address - Country:US
Practice Address - Phone:213-202-7580
Practice Address - Fax:213-580-6558
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22581363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner