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Organization
LIFEWAY HEALTHCARE SERVICES INC.
Active
Organization
LIFEWAY HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGSLEY O OFOEGBU M.D. (CEO)
(323) 242-3888
Entity
Organization
Contact information
Practice address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 242-3888
(323) 242-1188
Mailing address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 242-3888
(323) 242-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A73040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A730400
—
CA
01
—
1285732354
NPI
CA
Enumeration date
07/21/2008
Last updated
07/21/2008
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