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NPI Code Detail

MEDICARE: CLIFFORD UZOMA MEREMIKWU

MEDICARE: CLIFFORD UZOMA MEREMIKWU
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 : 1629695184
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLIFFORD UZOMA MEREMIKWU
Provider Business Mailing Address
First Line : 18509 LABRADOR ST
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91324-1933
Country : US
Telephone Number : 818-974-2807
Fax Number :
Provider Business Practice Location Address
First Line : 3001 W VERNON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-5293
Country : US
Telephone Number : 323-299-9554
Fax Number : 323-299-9540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 07/07/2020

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Directions to “ CLIFFORD UZOMA MEREMIKWU ” Practice Location

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