Organization
BONIFACE O ONUBAH, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONIFACE O ONUBAH M.D. (CEO/M.D.)
(310) 702-5100
Entity
Organization
Contact information
Practice address
2501 W BURBANK BLVD, 308, BURBANK, CA 91505-2347
(310) 207-5100
(818) 557-6491
Mailing address
2501 W BURBANK BLVD, 308, BURBANK, CA 91505-2347
(310) 207-5100
(818) 557-6491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A52415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A52415
MEDICAL LICENSE
CA
Enumeration date
08/08/2007
Last updated
08/08/2007
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