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Organization

OLUSEGUN Z. SALAKO M.D. INC

Active
Other names
Comfort Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THECLA N. MGBOJIRIKWE M.D. (PEDIATRIC SPECIALIST/MEDICAL DIRECT)
(562) 218-6264
Entity
Organization

Contact information

Practice address
215 W ANAHEIM ST, WILMINGTON, CA 90744-4418
(310) 816-3111
(310) 816-3116
Mailing address
215 W ANAHEIM ST, WILMINGTON, CA 90744-4418
(310) 816-3111
(310) 816-3116

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A83572
CA
174400000X
Specialist
G54804
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G67118
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G54804
MEDICARE SOUTHERN CA.
CA
05
GR0098551
CA
Enumeration date
04/09/2008
Last updated
11/01/2012
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