Ndika Fomukong, P.A.C

NPI 1497700066 · on the registry since 2006

Practice

Address: 6470 Van Nuys Blvd Ste D
Van Nuys, CA 91401
Phone: (323) 733-7242
Fax: (310) 975-1292
Organisation at this address: Heavenly Healthcare Services, Inc
Advanced Chiropractic Medical Rehab Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363LP2300X
363LP2300X
Also registered as: 363A00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California