Organization
DOCTOR PAUL MEMORIAL MEDICAL CENTER
Active
Parent organization
0000992894-0001-6
Organization subpart
Yes
Provider details
NPI number
Legal business name
0000992894-0001-6
Authorized official
DR. MEZIA OGUGUA AZINGE M.D. (PRESIDENT/CEO)
(323) 290-2832
Entity
Organization
Contact information
Practice address
501 E HARDY ST STE 220, INGLEWOOD, CA 90301-4054
(323) 290-2832
(323) 290-2836
Mailing address
501 E HARDY ST STE 220, INGLEWOOD, CA 90301-4054
(323) 290-2832
(323) 290-2836
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A53449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A53449
—
CA
05
—
00A534491
—
CA
05
—
00A534492
—
CA
Enumeration date
07/13/2005
Last updated
08/06/2020
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