# CHUKWUMA J. UDEH, MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841441896
- **Authorized official:** DR. CHUKWUMA JOHN UDEH MD (CORPORATION PRESIDENT)
- **Authorized official phone:** (909) 882-7554

## Contact information

- **Practice address:** 399 E HIGHLAND AVE STE 415, SAN BERNARDINO, CA 92404-3815
- **Practice address phone:** (909) 882-7554
- **Practice address fax:** (909) 882-6511
- **Mailing address:** 399 E HIGHLAND AVE STE 415, SAN BERNARDINO, CA 92404-3815
- **Mailing address phone:** (909) 882-7554
- **Mailing address fax:** (909) 882-6511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | 00G460740 | CA | Yes |
| 261QA0005X | Ambulatory Family Planning Facility | 00G460741 | CA | — |

## Other

- **Enumeration date:** 10/08/2008
- **Last updated:** 05/08/2009