George Ifeorah, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4107 Issued in CA

Practice address

933 Centinela Ave
Suite B
Inglewood, CA 90302-1501

Phone

(310) 677-5090

Fax

(310) 677-7302

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centinela Medical Group

  • General Practice Physician
  • Inglewood, CA
  • NPI 1902936099
  Authorized official Same address or phone
• Parklane Medical Group

  • Family Medicine Physician
  • Inglewood, CA
  • NPI 1164588141
  Authorized official Same address or phone

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1366742652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 CENTINELA AVE",
            "address_2": "SUITE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021501",
            "telephone_number": "310-677-5090",
            "fax_number": "310-677-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 CENTINELA AVE",
            "address_2": "SUITE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021501",
            "telephone_number": "310-677-5090",
            "fax_number": "310-677-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFEORAH",
        "first_name": "GEORGE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE BOARD",
            "identifier": "AC4107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Icm Medical Group, Inc.
• Idom Industries Inc.
• Iecoc Family Clinic Inc
• Frank Maduka Ifediba, RN
• Nkiruka Ifediba
• Satoshi Ikeda, PA
• Im Possible Youth Foundation
• Imperial Dental Center Corp.
• Infocybe Technologies, LLC
• Inglewood Family Medical Clinic Corp (Inglewood Family Medical Clinic)

• Acupuncturist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.