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Manasseh C Nwaigwe, MD
General Practice Physician in Los Angeles, California
NPI 1548486947

Manasseh C Nwaigwe is a General Practice Physician based in Monterey Park, CA. Manasseh C Nwaigwe practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Manasseh C Nwaigwe is 1548486947 and holds a License No. A42352 (California).

The current practice location address for Manasseh C Nwaigwe is 1159 S. Lorena St, Los Angeles, CA and can be reached out via phone at 323-881-6465 and via fax at 323-261-8768.

Location: 1159 S. Lorena St, Los Angeles, CA, 91754
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Provider Profile Details
NPI Number
1548486947
Provider Name
Manasseh C Nwaigwe
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1159 S. Lorena St, Los Angeles, CA, 91754
Phone Number
323-881-6465
Fax Number
323-261-8768
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A425320 05 CA
AV904Y 01 CA PTAN
AV904Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1159 S. Lorena St
City
State
Zip
90023
Phone Number
323-881-6465
Fax Number
323-261-8768
person
Provider Business Mailing Address Details
Address
1159 S. Lorena St
City
State
Zip
90023
Phone Number
323-881-6465
Fax Number
323-261-8768
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A42352 (California)
Definition
Definition to come...
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