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Organization
IFEOMA S IZUCHUKWU MD, A PROF MED CORP
Active
Organization
IFEOMA S IZUCHUKWU MD, A PROF MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA IZUCHUKWU M.D (MD/OWNER)
(888) 664-1121
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD, STE 116, LOS ANGELES, CA 90045-3807
(888) 664-1121
(310) 362-0390
Mailing address
PO BOX 13042, MARINA DEL REY, CA 90295-4042
(888) 664-1121
(310) 362-0390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A80750
CA
Other
Enumeration date
02/25/2011
Last updated
03/30/2016
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