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DR. ALOYSIUS IFEANYI UDEZE DC BSC IDE DABDA. NPI 1235213554


NPI Information

NPI: 1235213554
Provider Name: DR. ALOYSIUS IFEANYI UDEZE, DC, BSC, IDE, DABDA.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
12613 VENICE BLVD
13523 LEMOLI AVENUE HAWTHORNE, CA 90250
LOS ANGELES, CA
ZIP 90066
Phone: (310) 390-9293
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DR. Aloysius Ifeanyi Udeze, DC, BSC, IDE, DABDA. is a chiropractor in Los Angeles, CA. The provider is 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. DR. Aloysius Ifeanyi Udeze, DC, BSC, IDE, DABDA. NPI is 1235213554. 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:

12613 VENICE BLVD
13523 LEMOLI AVENUE HAWTHORNE, CA 90250
LOS ANGELES, CA
ZIP 90066-703
Phone: (310) 390-9293
Fax: (323) 820-1718

The enumeration date for this NPI number is 10/24/2006 and was last updated on 12/7/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC24645CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ64099ZOTHERCALIFORNIAZZZ64099Z CA
2DC0246450OTHERCALIFORNIADOCTOR'S BLUE SHIELD PIN#
3DC24645MEDICARE PINCALIFORNIA
4U80414 CAMEDICARE UPIN
5WDC24645B CAOTHERCALIFORNIAMEDICARE W18417 CA
6WDC24645B CAMEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.