Organization
CALVARY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHIEDU OKAFOR M.D. (PRESIDENT)
(323) 757-1557
Entity
Organization
Contact information
Practice address
11502 S VERMONT AVE, SUITE A, LOS ANGELES, CA 90044-6522
(323) 757-1557
(323) 757-1461
Mailing address
11502 S VERMONT AVE, SUITE A, LOS ANGELES, CA 90044-6522
(323) 757-1557
(323) 757-1461
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A53229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336275981
—
CA
Enumeration date
03/23/2009
Last updated
03/23/2009
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