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Mr. Kevin Chibouzo Ilo, MD
Student in an Organized Health Care Education/Training Program in Santa Monica, California
NPI 1366124166

Kevin Chibouzo Ilo is a Student in an Organized Health Care Education/Training Program based in Nottinham, CA. Kevin Chibouzo Ilo practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Kevin Chibouzo Ilo is 1366124166 and holds a License No. (California).

The current practice location address for Kevin Chibouzo Ilo is Ulca, Santa Monica, 1250 16Th St, Santa Monica, CA and can be reached out via phone at 310-825-9111.

Location: Ulca, Santa Monica, 1250 16Th St, Santa Monica, CA, NG5 1-GN
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366124166
Provider Name
Kevin Chibouzo Ilo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Ulca, Santa Monica, 1250 16Th St, Santa Monica, CA, NG5 1-GN
Phone Number
310-825-9111
Fax Number
Provider Enumeration Date
08/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
Ulca, Santa Monica, 1250 16Th St
City
Santa Monica
State
California
Zip
90404
Phone Number
310-825-9111
Fax Number
person
Provider Business Mailing Address Details
Address
Ulca, Santa Monica, 1250 16Th St
City
Santa Monica
State
California
Zip
90404
Phone Number
310-825-9111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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