| Organization Name: | LAWRENCE OGBECHIE MD INC |
| NPI Number: | 1588611461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE O OGBECHIE (MEDICAL DIRECTOR) |
| Mailing Address: | 2491 Pacific Ave Suite 3 Long Beach |
| State: | CA US |
| Postal Code: | 908062900 |
| Phone Number: | 2134446271 |
| Fax Number: | 9099923302 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 02/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A61959 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |