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. MGBOJIRKWE M.D. (PEDIATRIC SPECIALIST/MEDICAL DIRECT)
(562) 218-6264
Entity
Organization
Contact information
Practice address
1951 PACIFIC AVE, LONG BEACH, CA 90806-5321
(562) 218-6264
(562) 218-0745
Mailing address
1951 PACIFIC AVE, LONG BEACH, CA 90806-5321
(562) 218-6264
(562) 218-0745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A83572
CA
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
G67118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098550
—
CA
01
—
GR0098551
MEDI-CAL
CA
Enumeration date
11/01/2006
Last updated
11/01/2012
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