Provider Demographics
NPI:1174965016
Name:OBIOHA, JASMINE ONYEKA BOWERS (MD)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:ONYEKA BOWERS
Last Name:OBIOHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8484 WILSHIRE BLVD STE 620
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3234
Mailing Address - Country:US
Mailing Address - Phone:424-428-0910
Mailing Address - Fax:424-428-0911
Practice Address - Street 1:8484 WILSHIRE BLVD STE 620
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3234
Practice Address - Country:US
Practice Address - Phone:424-428-0910
Practice Address - Fax:424-428-0911
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207RO0000X207R00000X
CAA140279207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine