Organization
STATE-OF-THE-ART TECHNOLOGIES INC.
Active
Other names
L.A. Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSEMWOTA OMOIGUI MD (MEDICAL DIRECTOR)
(310) 675-9121
Entity
Organization
Contact information
Practice address
4019 W ROSECRANS AVE, HAWTHORNE, CA 90250-7913
(310) 675-9121
Mailing address
4019 W ROSECRANS AVE, HAWTHORNE, CA 90250-7913
(310) 675-9121
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A48906
CA
Other
Enumeration date
04/06/2007
Last updated
03/13/2012
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