Individual
DONALD IWUAGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5021 W AVENUE M, QUARTZ HILL, CA 93536-3010
(661) 718-3870
(661) 718-3970
Mailing address
5021 W AVENUE M, QUARTZ HILL, CA 93536-3010
(661) 718-3870
(661) 718-3970
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47180
HMDR
CA
Enumeration date
03/08/2007
Last updated
06/29/2011
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