MEDICARE: VOLUNTEERS OF AFRICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	7245	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7245	OTHER	CA	PROVIDER NUMBER

General Provider Information

NPI Number	:	1962627281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEERS OF AFRICA

Provider Business Mailing Address
First Line	:	1704 W MANCHESTER AVE STE 209
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-3057
Country	:	US
Telephone Number	:	3
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 W MANCHESTER AVE STE 209
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-3057
Country	:	US
Telephone Number	:	3
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	IFE ONWUGHALU
Credential	:
Telephone Number	:	3

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	08/22/2020

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Directions to “VOLUNTEERS OF AFRICA ” Practice Location

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