Individual
DR. OSEMWOTA OMOIGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4019 W ROSECRANS AVE, HAWTHORNE, CA 90250-7913
(310) 675-9121
Mailing address
4019 W ROSECRANS AVE, HAWTHORNE, CA 90250-7913
(310) 675-9121
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A48906
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489064
—
CA
Enumeration date
11/08/2006
Last updated
01/19/2012
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