| Amechi Lilian Obodoagha, | |
|
1720 Marine Ave, Gardena, CA 90247-3110 | |
| (424) 263-0728 | |
| Not Available |
| Full Name | Amechi Lilian Obodoagha |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 1720 Marine Ave, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104441401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95128977 (California) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95128977 (California) | Primary |
| Entity Name | Global Integrated Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578019485 PECOS PAC ID: 6709173487 Enrollment ID: O20160923000187 |
| Entity Name | Global Mobile Medical Alliances, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467960310 PECOS PAC ID: 4688934458 Enrollment ID: O20180216000940 |
| Entity Name | Global Medical Grp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629682067 PECOS PAC ID: 7113336017 Enrollment ID: O20210505001720 |
| Mailing Address | Practice Location Address |
|---|---|
| Amechi Lilian Obodoagha, 1720 Marine Ave, Gardena, CA 90247-3110 Ph: (424) 263-0728 | Amechi Lilian Obodoagha, 1720 Marine Ave, Gardena, CA 90247-3110 Ph: (424) 263-0728 |
Rayme Michael Brock, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247 Phone: 323-241-6730 Fax: 323-967-0614 | |
Evelyn Garcia, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Felix Na Ahmedov, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 | |
Ms. Nechelle Lashay Freeman, RN, BSN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 559-341-8373 | |
Olajumoke Adeyemi, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 805-650-3880 Fax: 805-650-3887 | |
Abigail Ann Abella Juarez, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Ms. Stephanie Ann Bose, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15519 Crenshaw Blvd, Gardena, CA 90249 Phone: 310-679-9126 |