Individual
CHIZOBAM ONYEDINMA ANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 365-9531
(818) 837-5741
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A126732
CA
390200000X
Student in an Organized Health Care Education/Training Program
A126732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1267320
—
CA
Enumeration date
04/15/2011
Last updated
12/10/2014
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