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Organization

CLIFFORD I IRIELE MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD IFEANYI IRIELE MD (OWNER)
(213) 483-0246
Entity
Organization

Contact information

Practice address
1711 W TEMPLE ST, SUITE 6642, LOS ANGELES, CA 90026-5421
(213) 483-0246
(213) 483-0249
Mailing address
PO BOX 34819, LOS ANGELES, CA 90034-0819
(213) 483-0246
(213) 483-0249

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A102130
CA

Other

Enumeration date
02/23/2011
Last updated
02/23/2011
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