MR. VICTOR MADUABUCHI (NPI# 1407024185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407024185 |
| Entity Type | Individual |
| Full Name | MR. VICTOR MADUABUCHI |
| Credential | PROGRAM MANAGER |
| Practice Address |
15222 Eriel Ave Gardena CA 90249-4019 |
| Practice Telephone | 3106441288 |
| Practice Fax Number | 3108564705 |
| Mailing Telephone | 3106441288 |
| Mailing Fax Number | 3108564705 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| Street Address |
15222 ERIEL AVE |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467621037 | Adeline E Maduabuchi | Counselor | 15222 Eriel Ave, Gardena, CA 90249-4019 | 2008-02-27 |
| 1457529760 | American Support Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15222 Eriel Ave, Gardena, CA 90249-4019 | 2008-02-20 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811240278 | Carol Chilaka | Counselor | 1321 W Rosecrans Ave, W Rosecrans Ave #40, Gardena, CA 90247-2426 | 2012-10-23 |
| 1699025007 | Donaji Aguilar | Counselor | 1109 W 135th St, Gardena, CA 90247-1918 | 2012-09-12 |
| 1902196496 | Iris Yvette Knighten | Counselor | 16914 S. Berendo Ave # B, Gardena, CA 90247 | 2011-04-18 |
| 1528388691 | Sophia Amos Ix | Counselor | 3131 W 145th St Apt 6, Gardena, CA 90249-3159 | 2010-06-10 |
| 1679809529 | Duane Burnett | Counselor | 2901 W 141st Pl, Suite 3, Gardena, CA 90249-2763 | 2009-10-28 |
| 1942536156 | Cheryl Marie Emmons | Counselor | 515 W Gardena Blvd, Suite 11, Gardena, CA 90248-2629 | 2009-10-22 |
| 1376776385 | Total Family Support Clinic | Counselor | 1618 W 184th St, Gardena, CA 90248-3803 | 2009-08-25 |
| 1366681835 | Valerie Willis | Counselor | 15201 Crenshaw Blvd, Gardena, CA 90249-4048 | 2009-02-06 |
| 1972712552 | Patricia Yvonne Doss-jones | Counselor | 17800 S Main St, Suite 103, Gardena, CA 90248-3500 | 2007-05-21 |
| 1689708646 | Sabrina Navarette | Counselor | 15519 Crenshaw Blvd., Gardena, CA 90249 | 2007-03-14 |
| Find all providers in GARDENA | ||||
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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.