Individual
GEORGE IFEORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
933 CENTINELA AVE, SUITE B, INGLEWOOD, CA 90302-1501
(310) 677-5090
(310) 677-7302
Mailing address
933 CENTINELA AVE, SUITE B, INGLEWOOD, CA 90302-1501
(310) 677-5090
(310) 677-7302
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC4107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC4107
ACUPUNCTURE BOARD
CA
Enumeration date
11/02/2010
Last updated
11/02/2010
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