| Dr Ogugua Geraldine Ajemba, MD | |
|
15248 Eleventh St, Victorville, CA 92395-3704 | |
| (914) 217-5756 | |
| Not Available |
| Full Name | Dr Ogugua Geraldine Ajemba |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 15248 Eleventh St, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245506989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | A135148 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A135148 (California) | Primary |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Entity Name | High Desert Pathology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407191356 PECOS PAC ID: 9537313028 Enrollment ID: O20130211000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ogugua Geraldine Ajemba, MD 17626 Wren Dr, Canyon Country, CA 91387-3826 Ph: (914) 217-5756 | Dr Ogugua Geraldine Ajemba, MD 15248 Eleventh St, Victorville, CA 92395-3704 Ph: (914) 217-5756 |
Tomasz J Pawlowski, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15248 11th St, Victorville, CA 92395 Phone: 760-843-6116 Fax: 760-843-6041 | |
Robert M Bearman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
Jee Hoon Jang, MD Pathology Medicare: Medicare Enrolled Practice Location: 15095 Amargosa Rd Bldg 1, Ste 102, Victorville, CA 92394 Phone: 800-821-5675 Fax: 760-552-4472 | |
Yvonne Saldanha Noronha, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 888-851-1183 |