Organization
CHUKWUMA J. UDEH, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUKWUMA JOHN UDEH MD (CORPORATION PRESIDENT)
(909) 882-7554
Entity
Organization
Contact information
Practice address
399 E HIGHLAND AVE STE 415, SAN BERNARDINO, CA 92404-3815
(909) 882-7554
(909) 882-6511
Mailing address
399 E HIGHLAND AVE STE 415, SAN BERNARDINO, CA 92404-3815
(909) 882-7554
(909) 882-6511
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
00G460740
CA
261QA0005X
Ambulatory Family Planning Facility
00G460741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G460740
—
CA
05
—
00G460741
—
CA
Enumeration date
10/08/2008
Last updated
05/08/2009
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