Individual ProviderJoseph NwadiukoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1245 16th St Ste 125, Santa Monica, CA 90404-1240(310) 315-89001310301870PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Nwadiuko is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1568849172Provider TypeIndividualFull NameNwadiuko, JosephTitleDr.CredentialMD MPHGenderMaleSole ProprietorNoEnumeration Date5/4/2015Last Updated8/29/2022Contact InformationPractice LocationPractice Address1245 16th St Ste 125, Santa Monica, CA 90404-1240Phone(310) 315-8900Fax(310) 315-8902Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631Phone1310301870Fax(310) 301-8707Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA172073California