Individual
ELECHI M EGEONUIGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11900 AVALON BLVD STE 100, LOS ANGELES, CA 90061-2867
(323) 920-4959
(323) 920-4991
Mailing address
11900 AVALON BLVD STE 100, LOS ANGELES, CA 90061-2867
(323) 920-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015756
CA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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