Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Azubuike Okonkwoaguolu, MD

Individual provider Family Medicine Physician · NPI 1134239932

Dr. Jerry Azubuike Okonkwoaguolu, MD is a Family Practice in Lawndale, California. Graduated from University of California, Davis School of Medicine in 1974, 52 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
52
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15603 Hawthorne Blvd
Lawndale, CA 90260-2639
Phone: (310) 644-4488
Fax: (310) 679-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A29427 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A29427 (CA)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence A29427 (CA)

Record details

NPI number1134239932
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 3, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY), GENERAL PRACTICE, GERIATRIC MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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