Organization
AUGUSTA U. IKHISEMOJIE, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Omni Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTA UAYEMEN IKHISEMOJIE M.D. (PRESIDENT)
(310) 276-1688
Entity
Organization
Contact information
Practice address
6485 DAY ST STE 305, RIVERSIDE, CA 92507-0926
(951) 413-6433
(951) 413-6633
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
CA
207L00000X
Anesthesiology Physician
A67133
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A67133
CA
Other
Enumeration date
09/27/2006
Last updated
09/19/2018
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