Individual
DR. IVY-JOAN ERINMA MADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR STE 610, ORANGE, CA 92868-3857
(714) 639-1815
(714) 639-2374
Mailing address
PO BOX 1693, ORANGE, CA 92856-0693
(714) 639-1815
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A50150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A501500
CALOPTIMA
CA
05
—
00A501500
—
CA
Enumeration date
08/02/2005
Last updated
04/16/2022
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