NPIMap

Organization Active NPI

Kingsley O. Ofoegbu, MD, F.a.C.P., Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1174821615
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73040 Issued in CA
Legal business name
KINGSLEY O. OFOEGBU, MD, F.A.C.P., INC.
Practice address
1711 W Temple St
Suite 6644
Los Angeles, CA 90026-5421
Phone
(213) 484-2420
Fax
(213) 484-2578
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kingsley O Ofoegbu, M.D.
Title
MD/Owner
Phone
(213) 484-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A73040 CA Primary

Addresses

Primary practice location

1711 W Temple St
Suite 6644
Los Angeles, CA 90026-5421

Mailing address

1711 W Temple St
Suite 6644
Los Angeles, CA 90026-5421
Phone (213) 484-2420

National Provider Directory

National Provider Directory
Tax ID family
Kingsley O Ofoegbu MD Facp Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1711 W Temple St
Ste 6644
Los Angeles, CA 90026
Phone (213) 484-2420

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1174821615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 6644",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-484-2420",
            "fax_number": "213-484-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 6644",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-484-2420",
            "fax_number": "213-484-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY O. OFOEGBU, MD, F.A.C.P., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "OFOEGBU",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "213-484-2420",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.