Obidiugwu Kenrick Duru
Internal Medicine

Address: 200 Medical Plaza, #214,365,530,420,120, Los Angeles, CA 90095
Phone: 3102066232

Obidiugwu Kenrick Duru (NPI# 1447276365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1447276365
Entity Type Individual
Full Name Obidiugwu Kenrick Duru
Credential MD
Gender Male
Practice Address 200 Medical Plaza
#214,365,530,420,120
Los Angeles
CA 90095
Practice Telephone 3102066232
Mailing Address 5767 W. Century Blvd
#400
Los Angeles
CA 90045-5655
Mailing Telephone 3102066232
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-14
Last Update Date 2010-06-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians A75361 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00A753610 MEDICAID

Physician Overview

NPI 1447276365
PAC ID by PECOS 2163565169
Professional Enrollment ID I20100129000339
Full Name Obidiugwu Duru
Organization Legal Name UC REGENTS
Gender M
Medical School UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1355248584
Number of Group Practice Members 824
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050262 RONALD REAGAN U C L A MEDICAL CENTER
050112 SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL

Office Location

Street Address 200 MEDICAL PLAZA
#214,365,530,420,120
City LOS ANGELES
State CA
Zip Code 90095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952379513 Lloyd S Miller Dermatology 200 Medical Plaza, #450, Los Angeles, CA 90095-3075 2006-03-09
1164912267 Alice K Lee Nurse Practitioner 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-05-14
1295239895 James Michael Weinberger Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-03-20
1487065777 Scott Robert Boynton Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Los Angeles, CA 90095-6628 2014-05-08
1487064564 Navid Darouian Internal Medicine 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90024-0001 2014-04-29
1518386796 Donald Elmore Dietz Iv Internal Medicine 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90045-5631 2014-04-15
1760825590 Connie Huey Lin Student in an Organized Health Care Education/Training Program 200 Medical Plaza, # 365, 420, 120, Los Angeles, CA 90024-0001 2013-04-11
1447593645 Yue Ma Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 2013-04-05
1710229281 Juveria Abdullah Hospitalist 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90095 2013-03-22
1295098283 Ingrid Edshteyn Preventive Medicine 200 Medical Plaza, Sutie 365,420,120, Los Angeles, CA 90024-0001 2012-06-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1952894487 Tony Chan Optometrist 200 Stein Plaza Ds-124, Los Angeles, CA 90095 2018-06-09
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
1720583560 Shire Lynn Beach Student in an Organized Health Care Education/Training Program Ucla Medicine Education Office, Rrucla Medical Center, 757 Westwood Plaza, Suite 7501, Los Angeles, CA 90095 2018-03-26
1619471661 Abigail Rose Olson Arons Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Medicine-pediatrics, Los Angeles, CA 90095 2018-03-22
1184128688 Nima Moaven Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave Fl 2, Los Angeles, CA 90095 2018-03-20
1487156428 Merdie Kristine Delfin Nurse Practitioner 200 Medical Plaza 140, Los Angeles, CA 90095 2018-03-06
1346742947 Oscar Rinon Jr. Specialist/Technologist 2131 John Wooden Center, Los Angeles, CA 90095 2018-02-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306310495 Baltimo Medical Center Inc Internal Medicine 3700 Wilshire Blvd Ste 422, Los Angeles, CA 90010-2905 2019-01-11
1528531316 Dauna Marie Health Care Inc Internal Medicine 3755 Beverly Blvd Apt 303, Los Angeles, CA 90004-3540 2019-01-04
1710458005 Equality Health Network PC Internal Medicine 555 W 5th St Fl 35, Los Angeles, CA 90013-1010 2018-12-11
1114493301 Daniel Rheem M.d., Inc. Internal Medicine 505 S Virgil Ave Ste 102, Los Angeles, CA 90020-1407 2018-10-16
1316412729 Family Care Physicians Inc Internal Medicine 4201 Wilshire Blvd Ste 334, Los Angeles, CA 90010-3611 2018-10-11
1023595170 Premier Point Medical Group Internal Medicine 11819 Wilshire Blvd Ste 208, Los Angeles, CA 90025-6631 2018-07-22
1932695079 Missak Kltchian Md Inc. Internal Medicine 4645 Hollywood Blvd Ste 2/4, Los Angeles, CA 90027-5455 2018-07-02
1598250052 Surina Hemani Internal Medicine 1701 E Cesar E Chavez Ave Ste 100, Los Angeles, CA 90033-2496 2018-06-27
1386131340 Sylvia Gates Carlisle Internal Medicine 4859 W Slauson Ave Ste 213, Los Angeles, CA 90056-3208 2018-04-16
1083110704 Fusion Corporate Health Services, Inc. Internal Medicine 2121 Avenue of The Stars Ste 49, Los Angeles, CA 90067-5010 2018-04-02
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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