Individual
DR. CHIDOZIE C MBAGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D
Contact information
Practice address
10600 MAGNOLIA AVE, STE I, RIVERSIDE, CA 92505-1819
(951) 324-8100
(951) 324-8103
Mailing address
10600 MAGNOLIA AVE, SUITE I, RIVERSIDE, CA 92505-1819
(951) 324-8100
(951) 324-8103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A51399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A513990
—
CA
Enumeration date
02/22/2007
Last updated
06/03/2016
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