Individual provider · Type 1 NPI

Kenneth Ejiogu

Family Nurse Practitioner · Los Angeles, CA

NPI number 1639647019 Active

Practice location

1127 Wilshire Blvd Ste 800
Los Angeles, CA 90017-3909

Call (213) 839-1119 Map

Mailing address

10565 Civic Center Dr
Rancho Cucamonga, CA 91730-3853

Other practice locations

  • 10565 Civic Center Dr, Rancho Cucamonga, CA 91730-3853 · (469) 237-7389

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95011746 (CA)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1639647019

Kenneth Ejiogu's National Provider Identifier is 1639647019, issued on Nov 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 8, 2025.