EUGENE NKEM ODEGA NPI 1093981029

NPI Information

NPI: 1093981029
Provider Name: EUGENE NKEM ODEGA
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
1715 W EL SEGUNDO BLVD
SAME
GARDENA, CA
ZIP 90249
Phone: (323) 755-8063
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Eugene Nkem Odega is a driver in Gardena, CA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Eugene Nkem Odega NPI is 1093981029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1715 W EL SEGUNDO BLVD
SAME
GARDENA, CA
ZIP 90249-011
Phone: (323) 755-8063
Fax: (323) 757-3024

The enumeration date for this NPI number is 4/30/2008 and was last updated on 3/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		CO971395	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6177620001	MEDICARE NSC
2	49321	OTHER	CALIFORNIA	HOME MEDICAL DEVICE RETAIL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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