Individual
MR. IFEANYI AMUZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 LYNN RD, SUITE 310, THOUSAND OAKS, CA 91360
(805) 371-0647
(805) 371-0649
Mailing address
2230 LYNN RD, SUITE 310, THOUSAND OAKS, CA 91360
(805) 371-0647
(805) 371-0649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G27773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G277731
—
CA
Enumeration date
01/25/2006
Last updated
10/06/2016
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