Aloysius Ifeanyi Udeze, DC, BSC, IDE, DABDA.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24645 Issued in CA

Practice address

12613 Venice Blvd
13523 Lemoli Avenue Hawthorne, Ca 90250
Los Angeles, CA 90066-3703

Phone

(310) 390-9293

Fax

(323) 820-1718

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Al I. Udeze Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1235213554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 CHANERA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032427",
            "telephone_number": "310-390-9293",
            "fax_number": "323-820-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 VENICE BLVD",
            "address_2": "13523 LEMOLI AVENUE HAWTHORNE, CA 90250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663703",
            "telephone_number": "310-390-9293",
            "fax_number": "323-820-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEZE",
        "first_name": "ALOYSIUS",
        "middle_name": "IFEANYI",
        "name_prefix": "Dr.",
        "credential": "DC, BSC, IDE, DABDA.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE W18417 CA",
            "identifier": "WDC24645B CA",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZZZ64099Z CA",
            "identifier": "ZZZ64099Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR'S BLUE SHIELD PIN#",
            "identifier": "DC0246450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AL",
            "last_name": "UDEZE",
            "middle_name": "I.",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brooks V Udelsman, MD
• Chima Udengwu
• Jennifer Udeochu, D.P.T.
• Michael C Udeorji, BA,MPA, MSW09/29/194
• Asia Susan Udeozor
• Ifeyinwa Udeze
• Omelogo A Udeze
• Richard D. Udin, D.D.S.
• Anthonia Udo
• Kavid Udompanyanan, M.D.

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.