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NPI Code Detail

MEDICARE: DISEPH TOMI UMAH-MGBOROGWU

MEDICARE: DISEPH TOMI UMAH-MGBOROGWU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist
2106H00000XMarriage & Family TherapistCA

General Provider Information

NPI Number : 1023383510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DISEPH TOMI UMAH-MGBOROGWU
Provider Business Mailing Address
First Line : 20 W LUGONIA AVE
Second Line :
City : REDLANDS
State : CA
Zip : 92374-2234
Country : US
Telephone Number : 626-251-0989
Fax Number :
Provider Business Practice Location Address
First Line : 20 W LUGONIA AVE
Second Line :
City : REDLANDS
State : CA
Zip : 92374-2234
Country : US
Telephone Number : 626-251-0989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2012
Last Update Date : 06/05/2024

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Directions to “ DISEPH TOMI UMAH-MGBOROGWU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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