Individual
CHIKA MBADUGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4405 S MAIN ST, LOS ANGELES, CA 90037-2731
(323) 231-0659
Mailing address
PO BOX 1293, LAKEWOOD, CA 90714-1293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
17656
CA
Other
Enumeration date
10/06/2016
Last updated
06/26/2017
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