Organization
ODOCHI NWAGWU MD INC
Active
Other names
SPECTRUM URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODOCHI N NWAGWU M.D. (CEO)
(760) 403-5571
Entity
Organization
Contact information
Practice address
15095 AMARGOSA RD, SUITE 280, VICTORVILLE, CA 92394-1879
(760) 952-9100
(760) 952-9228
Mailing address
11678 RANCHO RD, ADELANTO, CA 92301-2700
(760) 246-9555
(760) 246-9115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A84056
CA
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
PA18372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G770491
—
CA
01
—
1225010903
NPPES
CA
Enumeration date
01/05/2011
Last updated
04/07/2011
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