Kingsley O. Ofoegbu MD, Facp, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

688400 Issued in CA

Legal business name

KINGSLEY O. OFOEGBU MD, FACP, INC

Practice address

644 E Regent St Ste 200
Inglewood, CA 90301-1444

Phone

(310) 982-3141

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Sebastine E. Chikezie, N.P.

Title

Nurse Practitioner

Phone

(310) 982-3141

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1629465273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20111 WADLEY AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463046",
            "telephone_number": "310-982-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 E REGENT ST STE 200",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011444",
            "telephone_number": "310-982-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY O. OFOEGBU MD, FACP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "CHIKEZIE",
        "authorized_official_first_name": "SEBASTINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "310-982-3141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "688400",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": "688400",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "688400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoon Kim, DO
• Myung Sun Kim
• King Hill Medical Supply Inc
• John Henri King, MPH
• Kingdom Health Ministries
• Kingsley Ofoegbu, MD Inc.
• Ronald S Kingston, MD
• Stanislaus Kinota, M.D.
• Purnell Alexis Kirkland, M.D.
• Kimberley Kirkwood

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.