Individual
IFEANYI UGOCHUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1881 COMMERCENTER E, STE 118, SAN BERNARDINO, CA 92408-3442
(909) 890-1880
Mailing address
1881 COMMERCENTER E, STE 118, SAN BERNARDINO, CA 92408-3442
(909) 890-1880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G86654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G866540
—
CA
Enumeration date
07/07/2006
Last updated
02/16/2017
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