Eugene Nkem Odega is a Driver in Gardena, California. Eugene Nkem Odega practices all healthcare services and medical treatments related to Driver. The NPI Number for Eugene Nkem Odega is 1093981029. The last update date is 2009-03-31.
Eugene Nkem Odega's current location address is 1715 W El Segundo Blvd, Gardena, California. You can contact this provider via phone number 3237558063 and fax number 3237573024. The mailing address for Eugene Nkem Odega is 1715 W El Segundo Blvd, Gardena, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eugene Nkem Odega |
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Address | 1715 W El Segundo Blvd, Gardena, California |
Phone Number | 3237558063 |
Fax Number | 3237573024 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1093981029 |
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Provider Enumeration Date | 2008-04-30 |
Last Updated Date | 2009-03-31 |
Provider Mailing Address Detail
Address | 1715 W El Segundo Blvd |
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City | Gardena |
State | California (CA) |
Post Code | 90249 |
Phone Number | 3237558063 |
Fax Number | 3237573024 |
Provider's Primary Taxonomy Detail
Speciality | Driver |
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Taxonomy | 172A00000X |
Licence No | CO971395 |
Definition: A person employed to operate a motor vehicle as a carrier of persons or property. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
49321 | CA | HOME MEDICAL DEVICE RETAIL LIC |
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What is the unique provider identifier assigned to Eugene Nkem Odega?
The Eugene Nkem Odega has been issued the NPI (National Provider Identifier) 1093981029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Eugene Nkem Odega located?
The Eugene Nkem Odega is located at 1715 W El Segundo Blvd, Gardena, CA 90249.
What is Eugene Nkem Odega's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eugene Nkem Odega is Driver, and the taxonomy code that categorizes this field of expertise is 172A00000X.
When did the Eugene Nkem Odega receive its 1093981029?
The Eugene Nkem Odega was issued its 1093981029 on 2008-04-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Eugene Nkem Odega's details last updated?
The information pertaining to the Eugene Nkem Odega, including its address, specialty, and other details, was most recently updated on 2009-03-31.
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