ALA-NGWA AMERICAN ENT.INC. NPI 1619959301

NPI Information

ALA-NGWA AMERICAN ENT.INC. is a specialist in Adelanto, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALA-NGWA AMERICAN ENT.INC. NPI is 1619959301. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Adelanto Medical Clinic.

The provider's business location address is:

11678 RANCHO RD
ADELANTO, CA
ZIP 92301-700
Phone: (760) 246-9555
Fax: (760) 246-9115

The provider's authorized official is Onyenkwere Okwu Okwandu .
The authorized official title is Office Manager and has the following contact phone number (760) 246-9555.

The CLIA number assigned to this NPI record is 05D0943470 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 6/28/2010.

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:

Other Identifiers

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