Healthcare Provider Details

I. General information

NPI: 1174476808
Provider Name (Legal Business Name): GOOD NEIGHBOR CLINICS A MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 CRENSHAW BLVD
LOS ANGELES CA
90008-4902
US

IV. Provider business mailing address

4300 CRENSHAW BLVD
LOS ANGELES CA
90008-4902
US

V. Phone/Fax

Practice location:
  • Phone: 323-298-1668
  • Fax: 323-298-0458
Mailing address:
  • Phone: 323-298-1668
  • Fax: 323-298-0458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IKECHUKWU ARENE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 323-298-1668