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General NPI Number Information
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NPI Number | 1932249315
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MED CTR INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2286 S GAREY AVE
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City | POMONA
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State | CA
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Zip | 91766-5645
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Country | US
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Telephone | 909-464-2818
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Fax |
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Provider Business Mailing Address
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Address Line | 2286 S GAREY AVE
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City | POMONA
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State | CA
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Zip | 91766-5645
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Country | US
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Telephone | 909-464-2818
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RITA N OGBO
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Credential | M.D.
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Telephone | 562-882-4015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A052176
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License Number State | CA
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