Individual
PRINCE O. OPPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7404 S WESTERN AVE, LOS ANGELES, CA 90047-2427
(213) 864-0673
Mailing address
7404 S WESTERN AVE, LOS ANGELES, CA 90047-2427
(213) 864-0673
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
102222
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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