Mercy Ekeoma Azubuko-Udah
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Los Angeles, CA
NPI 1114651981 · NPPES record last updated Jul 15, 2022
Key facts
- NPI
- 1114651981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1680 E 120TH St
Los Angeles, CA 90059-3026 - Phone
- (424) 338-8000
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Interoperability endpoints
- mazubuko-udah@dhs.lacounty.gov
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1680 E 120TH St
Los Angeles, CA 90059-3026
Mailing address
3649 Garnet St Apt 156
Torrance, CA 90503-3350
Phone (310) 350-3844
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mazubuko-udah@dhs.lacounty.gov | Direct |
Other providers in Los Angeles, CA
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- Jacqueline Lizzette Azucena
- Neil Lomeda Azul
- Gabriella Azzam-Forni
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All providers in Los Angeles, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.