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NPI Code Detail

MEDICARE: IZUCHUKWU L MEGWA

MEDICARE: IZUCHUKWU L MEGWA
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
1101YM0800XMental Health Counselor
2390200000XStudent in an Organized Health Care Education/Training Program70881CA

General Provider Information

NPI Number : 1942357538
Entity Type Code : Individual
Provider Name (Legal Business Name) : IZUCHUKWU L MEGWA
Provider Business Mailing Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-237-3992
Fax Number :
Provider Business Practice Location Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-237-3992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 03/29/2018

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Directions to “ IZUCHUKWU L MEGWA ” Practice Location

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