Boniface O Onubah, M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A52415 Issued in CA

Legal business name

BONIFACE O ONUBAH, M.D. INC.

Practice address

2501 W Burbank Blvd
308
Burbank, CA 91505-2347

Phone

(310) 207-5100

Fax

(818) 557-6491

NPI assigned

Aug 8, 2007

Last updated

Aug 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boniface O Onubah, M.D.

Title

Ceo/M.D.

Phone

(310) 702-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1619168150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BURBANK BLVD",
            "address_2": "308",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052347",
            "telephone_number": "310-207-5100",
            "fax_number": "818-557-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BURBANK BLVD",
            "address_2": "308",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052347",
            "telephone_number": "310-207-5100",
            "fax_number": "818-557-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONIFACE O ONUBAH, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "ONUBAH",
        "authorized_official_first_name": "BONIFACE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/M.D.",
        "authorized_official_telephone_number": "310-702-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A52415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Boken, DPT
• Jose Luis Bolanos
• Lilia Bolbolian
• Maya Bonales
• Bonavista Optics Inc
• Alexandra Juliet Bonilla, DC
• Stephanie Mary Boon, RDN
• Johnna Booth
• Todd Ryan Borenstein, M.D.
• Joan Boris, MFT

• Internal Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.