| Boniface O Onubah, M.d. Inc. | |
|
2501 W Burbank Blvd 308 Burbank CA 91505-2347 | |
| (310) 207-5100 | |
| (818) 557-6491 |
| Full Name | Boniface O Onubah, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 W Burbank Blvd, Burbank, California |
| Authorized Official Name and Position | Boniface O Onubah (CEO/M.D.) |
| Authorized Official Contact | 3107025100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boniface O Onubah, M.d. Inc. 2501 W Burbank Blvd 308 Burbank CA 91505-2347 Ph: (310) 207-5100 | Boniface O Onubah, M.d. Inc. 2501 W Burbank Blvd 308 Burbank CA 91505-2347 Ph: (310) 207-5100 |
| NPI Number | 1619168150 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619168150 | NPI | - | NPPES |
| A52415 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A52415 (California) | Primary |
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