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Organization
KINGSLEY OFOEGBU, MD INC.
Active
Organization
KINGSLEY OFOEGBU, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGSLEY OFOEGBU M.D. (OWNER)
(310) 674-5353
Entity
Organization
Contact information
Practice address
644 E REGENT ST, SUITE 200, INGLEWOOD, CA 90301-1433
(310) 674-5353
(310) 330-0665
Mailing address
644 E REGENT ST, SUITE 200, INGLEWOOD, CA 90301-1433
(310) 674-5353
(310) 330-0665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A73040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A730400
—
CA
Enumeration date
02/25/2016
Last updated
03/07/2016
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