Organization · NPI-2

Aiyegbusi And Braimah Medical Corp.

Family Medicine · Torrance, CA

NPI number1710084959
StatusActive
Last updated in NPPESJan 8, 2014

Details

NPI
1710084959
Entity type
Organization (NPI-2)
Legal business name
Aiyegbusi And Braimah Medical Corp.
Organization subpart
No
Enumeration date
Sep 20, 2006
Last updated
Jan 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207L00000X Anesthesiology––

Practice location

3661 Torrance Blvd
Suite 103
Torrance, CA 90503-4812

Phone 310-540-7240 · Fax 310-540-7280

Mailing address

3661 Torrance Blvd
Suite 103
Torrance, CA 90503-4812

Phone 310-540-7240 · Fax 310-540-7280

Authorized official

Modupe Aiyegbusi
President
3105407240

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