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Dr. Aloysius Ifeanyi Udeze, DC,BSC,IDE,DABDA
Chiropractor in Los Angeles, California
NPI 1235213554

Aloysius Ifeanyi Udeze is a Chiropractor based in Inglewood, CA. Aloysius Ifeanyi Udeze practices in Los Angeles, CA and has the professional credentials of DC,BSC,IDE,DABDA. The NPI Number for Aloysius Ifeanyi Udeze is 1235213554 and holds a License No. DC24645 (California).

The current practice location address for Aloysius Ifeanyi Udeze is 12613 Venice Blvd, Los Angeles, CA and can be reached out via phone at 310-390-9293 and via fax at 323-820-1718.

Location: 12613 Venice Blvd, Los Angeles, CA, 90303-2427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235213554
Provider Name
Aloysius Ifeanyi Udeze
Credential
DC,BSC,IDE,DABDA
Provider Entity Type
Individual
Gender
Male
Address
12613 Venice Blvd, Los Angeles, CA, 90303-2427
Phone Number
310-390-9293
Fax Number
323-820-1718
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WDC24645B CA 01 CA MEDICARE W18417 CA
ZZZ64099Z 01 CA ZZZ64099Z CA
DC0246450 01 CA DOCTOR'S BLUE SHIELD PIN#
institution
Provider Business Practice Location Address Details
Address
12613 Venice Blvd
City
Los Angeles
State
California
Zip
90066-3703
Phone Number
310-390-9293
Fax Number
323-820-1718
person
Provider Business Mailing Address Details
Address
12613 Venice Blvd
City
Los Angeles
State
California
Zip
90066-3703
Phone Number
310-390-9293
Fax Number
323-820-1718
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC24645 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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