Charles Chukwunonso Nnamchi, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Long Beach, CA
NPI 1164311619 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1164311619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2776 Pacific Ave
Long Beach, CA 90806-2613 - Phone
- (562) 997-2000
- NPI assigned
- Jun 30, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2776 Pacific Ave
Long Beach, CA 90806-2613
Mailing address
2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2000
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. 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.