Organization
HEALTHY FOUNDATIONS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJIKE C. ONYEADOR M.D. (MEDICAL DIRECTOR / OWNER)
(310) 223-0684
Entity
Organization
Contact information
Practice address
555 W COMPTON BLVD, SUITE 205, COMPTON, CA 90220-3085
(310) 223-0684
(310) 223-0687
Mailing address
1045 ATLANTIC AVE, SUITE 715, LONG BEACH, CA 90813-3408
(562) 983-5496
(562) 216-8807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A45589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A45589
—
CA
Enumeration date
01/31/2014
Last updated
06/19/2014
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