Individual
DR. AUGUSTINE ILUORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11633 HAWTHORNE BLVD STE 103, HAWTHORNE, CA 90250-2323
(310) 219-2929
(310) 219-2940
Mailing address
11633 HAWTHORNE BLVD STE 103, HAWTHORNE, CA 90250-2323
(310) 219-2929
(310) 219-2940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A53317
CA
Other
Enumeration date
01/01/2007
Last updated
07/05/2012
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