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NPI Code Detail

MEDICARE: EHIGIMETOR INEGBENOISE

MEDICARE:   EHIGIMETOR  INEGBENOISE
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1497973622
Entity Type Code : Individual
Provider Name (Legal Business Name) : EHIGIMETOR INEGBENOISE
Provider Business Mailing Address
First Line : 1225 ASHPARK LN
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-1409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1225 ASHPARK LN
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-1409
Country : US
Telephone Number : 323-753-3939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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Directions to “ EHIGIMETOR INEGBENOISE ” 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.