Individual
CHIEDU OGUAGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 W MANCHESTER AVE STE 209, LOS ANGELES, CA 90047-3057
(323) 752-9723
Mailing address
12904 SPINNING AVE, GARDENA, CA 90249-1717
(323) 752-9723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6151
CAS
CA
Enumeration date
08/05/2007
Last updated
08/05/2007
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