| Kingsley Ofoegbu, Md Inc. | |
|
644 E Regent St Suite 200 Inglewood CA 90301-1433 | |
| (310) 674-5353 | |
| (310) 330-0665 |
| Full Name | Kingsley Ofoegbu, Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 644 E Regent St, Inglewood, California |
| Authorized Official Name and Position | Kingsley Ofoegbu (OWNER) |
| Authorized Official Contact | 3106745353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsley Ofoegbu, Md Inc. 644 E Regent St Suite 200 Inglewood CA 90301-1433 Ph: (310) 674-5353 | Kingsley Ofoegbu, Md Inc. 644 E Regent St Suite 200 Inglewood CA 90301-1433 Ph: (310) 674-5353 |
| NPI Number | 1720448244 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720448244 | NPI | - | NPPES |
| 00A730400 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A73040 (California) | Primary |
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