Physician Compare National (NPI:1285732354)

HEALTHCARE PROVIDER: KINGSLEY OFOEGBU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285732354
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163326992
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031124000293
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OFOEGBU
	Individual professional last name
Provider First Name	KINGSLEY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	644 E REGENT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	INGLEWOOD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	903011444
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3106745353
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050763
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SILVER LAKE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050135
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050663
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LOS ANGELES COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050378
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PACIFICA HOSPITAL OF THE VALLEY
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050704
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MISSION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1285732354)

HEALTHCARE PROVIDER: KINGSLEY OFOEGBU M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information