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General NPI Number Information
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NPI Number | 1255281697
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Entity Type | Organization
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Legal Business Name | LUMICARE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 3350 SHELBY ST STE 200
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City | ONTARIO
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State | CA
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Zip | 91764-5556
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Country | US
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Telephone | 909-354-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 SHELBY ST STE 200
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City | ONTARIO
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State | CA
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Zip | 91764-5556
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Country | US
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Telephone | 909-354-0079
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. OLUCHI C IWUOHA
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Credential | NP
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Telephone | 562-280-4289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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