| Novaxis Healthcare Inc | |
|
8540 S Sepulveda Blvd Ste 120 Los Angeles CA 90045-3807 | |
| (310) 363-0322 | |
| (309) 326-4624 |
| Full Name | Novaxis Healthcare Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 8540 S Sepulveda Blvd Ste 120, Los Angeles, California |
| Authorized Official Name and Position | Joy Ekwueme (OWNER) |
| Authorized Official Contact | 3103630322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novaxis Healthcare Inc 8540 S Sepulveda Blvd Ste 120 Los Angeles CA 90045-3807 Ph: (310) 363-0322 | Novaxis Healthcare Inc 8540 S Sepulveda Blvd Ste 120 Los Angeles CA 90045-3807 Ph: (310) 363-0322 |
| NPI Number | 1174136899 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 01/30/2022 |
| Certification Date | 01/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174136899 | NPI | - | NPPES |
| CB374221 | Medicaid | CA | |
| CB374220 | Medicaid | CA | |
| CB374312 | Medicaid | CA |
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