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Organization

ENERA5

Active
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Organization

ENERA5

Active
Other names
VioGene Chalcedony Aesthetics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IKECHUKWU O ARENE MD (PRESIDENT / MD)
(818) 290-3289
Entity
Organization

Contact information

Practice address
5400 BALBOA BLVD STE 120, ENCINO, CA 91316-5200
(818) 290-3289
(818) 290-3289
Mailing address
11325 PARK SQUARE DR APT K202, BAKERSFIELD, CA 93311-8869
(661) 873-5887

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801806674
CA
Enumeration date
12/21/2020
Last updated
05/02/2022
About Stedi
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