| Vincent E. Ajanwachuku, M.d., Inc. | |
|
16133 Kamana Rd Apple Valley CA 92307-1377 | |
| (760) 242-8491 | |
| (760) 242-8495 |
| Full Name | Vincent E. Ajanwachuku, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 16133 Kamana Rd, Apple Valley, California |
| Authorized Official Name and Position | Melanie Ajanwachuku (CORPORATE SECRETARY) |
| Authorized Official Contact | 7602428491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent E. Ajanwachuku, M.d., Inc. 16133 Kamana Rd Apple Valley CA 92307-1377 Ph: (760) 242-8491 | Vincent E. Ajanwachuku, M.d., Inc. 16133 Kamana Rd Apple Valley CA 92307-1377 Ph: (760) 242-8491 |
| NPI Number | 1952590796 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 9032205224 |
|---|---|
| Medicare Enrollment ID | O20071018000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952590796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vincent Ede Ajanwachuku |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427127075 PECOS PAC ID: 9133215320 Enrollment ID: I20071018000828 |
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