Provider Demographics
NPI:1114336260
Name:OKWUOSA, CHRIS (MD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:OKWUOSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11755 MALAGA DR UNIT 1109
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8126
Mailing Address - Country:US
Mailing Address - Phone:310-850-6804
Mailing Address - Fax:
Practice Address - Street 1:18310 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2206
Practice Address - Country:US
Practice Address - Phone:760-998-2312
Practice Address - Fax:760-242-3371
Is Sole Proprietor?:No
Enumeration Date:2014-08-02
Last Update Date:2025-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE7296208600000X
TXS9046208600000X
CAA170738208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery