Clifford I Iriele Md Inc

NPI 1154628493 - Specialist - 174400000X

NPI Details
NPI 1154628493
Enumeration Date 02/23/2011
Last Updated 02/23/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CLIFFORD IFEANYI CLIFFORD
Position OWNER
Phone (213) 483-0246
Fax (213) 483-0249
Practice Location
1711 W TEMPLE ST
SUITE 6642
LOS ANGELES CA, 90026-5421, US
Phone (213) 483-0246
Fax (213) 483-0249
Business Location
PO BOX 34819
LOS ANGELES CA, 90034-0819, US
Phone (213) 483-0246
Fax (213) 483-0249
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A102130
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According to our database, Clifford I Iriele Md Inc NPI is 1154628493, taxonomy code is 174400000X and license number is A102130, license state is located at California. Clifford I Iriele Md Inc physically located at 1711 W Temple St, Los Angeles CA, 90026-5421. NPI Number 1033115704 has the healthcare provider type.

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1154628493 NPI number is provided on an as is basis without warranty of any kind. 1154628493 is maintained by the National Plan & Provider Enumeration System. The contents of Clifford I Iriele Md Inc are for informational purposes only.