EUGENE NKEM ODEGA (NPI# 1093981029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093981029 |
| Entity Type | Individual |
| Full Name | EUGENE NKEM ODEGA |
| Practice Address |
1715 W El Segundo Blvd Same Gardena CA 90249-2011 |
| Mailing Address |
1715 W El Segundo Blvd Gardena CA 90249 |
| Practice Telephone | 3237558063 |
| Practice Fax Number | 3237573024 |
| Mailing Telephone | 3237558063 |
| Mailing Fax Number | 3237573024 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2009-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | CO971395 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HOME MEDICAL DEVICE RETAIL LICENSE | 49321 | 01 |
| Street Address |
1715 W EL SEGUNDO BLVD SAME |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780001164 | Peter Gabraeil Sr. | Driver | 13023 S Manhattan Pl, Gardena, CA 90249-1906 | 2014-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961730 | Diego Alberto Veyna | Driver | 26355 Gading Rd, Hayward, CA 94544-3211 | 2020-10-28 |
| 1760081335 | Lauren Elizabeth Yoder | Driver | 2520 Bishop Dr Apt 100, Bakersfield, CA 93306-1070 | 2020-10-23 |
| 1548868979 | Yesenia Castillo | Driver | 2668 Inman Ave, Stockton, CA 95204-2649 | 2020-10-16 |
| 1922605708 | Mazen Ali | Driver | 6846 Caminito Montanoso Unit 16, San Diego, CA 92119-2336 | 2020-10-05 |
| 1104423201 | Fanuel Ghebremichael | Driver | 968 Village Cir, Oakland, CA 94607-3151 | 2020-10-02 |
| 1326645391 | H Dijon Hyder | Driver | 15000 7th St Ste 208c, Victorville, CA 92395-3853 | 2020-10-02 |
| 1568069623 | Haileab M Mosazghi | Driver | 215 W Macarthur Blvd Apt 512, Oakland, CA 94611-5338 | 2020-10-02 |
| 1205448024 | Richard Roybal | Driver | 4514 Valley West Blvd Apt A, Arcata, CA 95521-4685 | 2020-08-21 |
| 1356953624 | G & G Medical Transport Kern Inc | Driver | 525 W Main St Ste 120, Visalia, CA 93291-6169 | 2020-08-18 |
| 1841801636 | Sheila Renee Hill | Driver | 1931 Cedar Ridge Dr Apt 23, Stockton, CA 95207-4635 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.