JEREMIAH A. O. AGUOLU MD – NPI #1730490137
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JEREMIAH A. O. AGUOLU MD is a provider located in LAWNDALE, CA. NPPES has assigned the NPI number 1730490137 to JEREMIAH A. O. AGUOLU MD on June 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEREMIAH A. O. AGUOLU MD” is a dba name, the actual legal business name for this organization is JERRY A OKONKWOAGUOLU MD. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Aug 03, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEREMIAH A. O. AGUOLU MD below.

NPI Profile for
JERRY A OKONKWOAGUOLU MD

NPI Number
1730490137
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JERRY A OKONKWOAGUOLU MD
Doing Business As (dba): JEREMIAH A. O. AGUOLU MD
Primary location
15603 HAWTHORNE BLVD
LAWNDALE, CA 90260-2639
Phone: (310) 644-4488 Fax: (310) 679-4035
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERRY OKONKWOAGUOLU
PRESIDENT
Phone: (310) 644-4488
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
2083X0100X
- Preventive Medicine / Occupational Medicine
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.