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Organization
LAWRENCE OGBECHIE MD INC
Active
Organization
LAWRENCE OGBECHIE MD INC
Active
Other names
PACIFIC BURNETT MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE O OGBECHIE M.D (MEDICAL DIRECTOR)
(213) 444-6271
Entity
Organization
Contact information
Practice address
2491 PACIFIC AVE, SUITE 3, LONG BEACH, CA 90806-2900
(213) 444-6271
(909) 992-3302
Mailing address
1142 S DIAMOND BAR BLVD, SUITE 406, DIAMOND BAR, CA 91765-2203
(213) 444-6271
(909) 992-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A61959
CA
208D00000X
General Practice Physician
A61959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A619590
LA MENTAL HEALTH
CA
05
—
GR0082750
—
CA
Enumeration date
05/27/2006
Last updated
02/16/2015
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