MEDICARE: DR. IFEANYI G OGUELI RPH, PHD.

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	11591	CA
2	183500000X	Pharmacist	62134	CA

General Provider Information

NPI Number	:	1801269568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IFEANYI G OGUELI RPH, PHD.

Provider Business Mailing Address
First Line	:	4211 AVALON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-5622
Country	:	US
Telephone Number	:	323-233-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	4211 AVALON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-5622
Country	:	US
Telephone Number	:	323-233-0425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2015
Last Update Date	:	04/23/2026

Similar Medicare Providers

1689282436 — XIOMARA AVILES
Practice Location Address:

4211 AVALON BLVD
LOS ANGELES, CA
90011-5622

Practice Phone: 323-233-0425
Practice Fax:

1417378597 — KEDREN COMMUNITY CARE CLINIC - A
Practice Location Address:

4211 AVALON BLVD STE A
LOS ANGELES, CA
90011-5622

Practice Phone: 323-234-0616
Practice Fax: 323-232-2384

1376247189 — CHIKA NWACHUKWU MD
Practice Location Address:

4211 AVALON BLVD
LOS ANGELES, CA
90011-5622

Practice Phone: 323-563-4800
Practice Fax:

1528601101 — JASMINE ESMERALD MORATAYA
Practice Location Address:

4211 AVALON BLVD STE A
LOS ANGELES, CA
90011-5622

Practice Phone: 323-233-0425
Practice Fax:

1295257913 — KEDREN COMMUNITY CARE CLINIC - B
Practice Location Address:

4211 AVALON BLVD STE B
LOS ANGELES, CA
90011-5622

Practice Phone: 323-232-2384
Practice Fax: 323-232-2384

1699580068 — KEDREN COMMUNITY CARE CLINIC - MOBILE UNIT
Practice Location Address:

4211 AVALON BLVD
LOS ANGELES, CA
90011-5622

Practice Phone: 323-232-2384
Practice Fax: 323-232-2384

Directions to “ DR. IFEANYI G OGUELI RPH, PHD.” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.