Organization
VISCERA MEDICAL DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONIFACE O ONUBAH M.D. (PRESIDENT)
(818) 342-0701
Entity
Organization
Contact information
Practice address
16927 VANOWEN ST, STE 4, VAN NUYS, CA 91406-4591
(818) 342-0701
(818) 342-0702
Mailing address
16927 VANOWEN ST, STE 4, VAN NUYS, CA 91406-4591
(818) 342-0701
(818) 342-0702
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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