Physician Compare National (NPI:1518124718)

HEALTHCARE PROVIDER: CLIFFORD IFEANYI IRIELE 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	1518124718
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395817902
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090806000337
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IRIELE
	Individual professional last name
Provider First Name	CLIFFORD
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CLIFFORD I IRIELE MD INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2668641887
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1711 W TEMPLE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 6642
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900265421
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2134830246
	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	050135
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050378
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PACIFICA HOSPITAL OF THE VALLEY
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050763
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SILVER LAKE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050704
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MISSION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y