Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | A154224 | CA |
NPI | 1013335355 |
---|---|
Provider Name | Dr. Iheanacho Obinnaya Emeruwa |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 10/08/2021 |