Individual
EUGENE NKEM ODEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 W GARDENA BLVD STE B, GARDENA, CA 90247-5923
(310) 962-7922
(310) 767-7835
Mailing address
1204 W GARDENA BLVD STE B, GARDENA, CA 90247-5923
(310) 962-7922
(323) 757-3024
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49321
HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
04/30/2008
Last updated
05/09/2024
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