Organization
IFEACHO MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINE IFEACHO M.D. (CEO)
(951) 660-4464
Entity
Organization
Contact information
Practice address
388 MARKET ST STE 1300, SAN FRANCISCO, CA 94111-5316
(951) 660-4644
Mailing address
201 13TH ST # 1263, OAKLAND, CA 94612-3921
(951) 660-4464
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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