Active NPI
Chizoba Uchenna Nicole Udeorji, CCE
- Specialist
- Beverly Hills, CA
National Provider Identifier
1760167183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L9722
- Practice address
- 489 S Robertson Blvd Ste 105
Beverly Hills, CA 90211-3637 - Phone
- (424) 379-1077
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L9722 | CA | Primary |
Addresses
Primary practice location
489 S Robertson Blvd Ste 105
Beverly Hills, CA 90211-3637
Mailing address
4627 Don Zarembo Dr
Los Angeles, CA 90008-4122
Phone (323) 823-1245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9722 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bad-Betty LLC | Specialist | Current | Accepting new patients |
Locations
489 S Robertson Blvd
Ste 105
Beverly Hills, CA 90211
Phone (424) 379-1077
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Beverly Hills, CA
- NPI 1922783331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1760167183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4627 DON ZAREMBO DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900084122",
"telephone_number": "323-823-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 S ROBERTSON BLVD STE 105",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113637",
"telephone_number": "424-379-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEORJI",
"first_name": "CHIZOBA",
"middle_name": "UCHENNA NICOLE",
"credential": "CCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "L9722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.