# ODOCHI NWAGWU MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPECTRUM URGENT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174827125
- **Authorized official:** DR. ODOCHI N NWAGWU M.D. (CEO)
- **Authorized official phone:** (760) 403-5571

## Contact information

- **Practice address:** 15095 AMARGOSA RD, SUITE 280, VICTORVILLE, CA 92394-1879
- **Practice address phone:** (760) 952-9100
- **Practice address fax:** (760) 952-9228
- **Mailing address:** 11678 RANCHO RD, ADELANTO, CA 92301-2700
- **Mailing address phone:** (760) 246-9555
- **Mailing address fax:** (760) 246-9115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A84056 | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | PA18372 | CA | — |

## Other

- **Enumeration date:** 01/05/2011
- **Last updated:** 04/07/2011