Organization
COMPREHENSIVE MED CTR INC
Active
Other names
CLINICA MEDICA COMUNIDA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA N OGBO M.D. (PHYSICIAN)
(562) 882-4015
Entity
Organization
Contact information
Practice address
2286 S GAREY AVE, POMONA, CA 91766-5645
(909) 464-2818
Mailing address
2286 S GAREY AVE, POMONA, CA 91766-5645
(909) 464-2818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A052176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A521760
—
CA
05
—
00G841270
—
CA
05
—
GR0094881
—
CA
01
—
ZZZ08860Z
BLUE CROSS GROUP #
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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