| Community Wellness Medical Clinic, Inc | |
|
1218 S Inglewood Ave Inglewood CA 90301-3649 | |
| (310) 722-5146 | |
| Not Available |
| Full Name | Community Wellness Medical Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1218 S Inglewood Ave, Inglewood, California |
| Authorized Official Name and Position | Rose N Ekejiuba (OWNER) |
| Authorized Official Contact | 3107225146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Wellness Medical Clinic, Inc 1458 E Gladwick St Carson CA 90746-3804 Ph: () - | Community Wellness Medical Clinic, Inc 1218 S Inglewood Ave Inglewood CA 90301-3649 Ph: (310) 722-5146 |
| NPI Number | 1821642059 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 6507197449 |
|---|---|
| Medicare Enrollment ID | O20191008001935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821642059 | NPI | - | NPPES |
| Provider Name | Chinedu J Ugorji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932133980 PECOS PAC ID: 8426941139 Enrollment ID: I20110216000269 |
| Provider Name | Rose N Ekejiuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356677454 PECOS PAC ID: 8527214998 Enrollment ID: I20120820000291 |
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