Enera5
Internal Medicine in Encino, CA. Organization (NPI-2).
NPI number1962099291
StatusActive
Last updated in NPPESMay 2, 2022
Details
- NPI
- 1962099291
- Entity type
- Organization (NPI-2)
- Legal business name
- Enera5
- Organization subpart
- No
- Enumeration date
- Dec 21, 2020
- Certification date
- May 2, 2022
- Last updated
- May 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Viogene Chalcedony Aesthetics (Doing Business As)
Practice location
5400 Balboa Blvd Ste 120Encino, CA 91316-5200
Phone 818-290-3289 · Fax 818-290-3289
Mailing address
11325 Park Square Dr Apt K202Bakersfield, CA 93311-8869
Phone 661-873-5887
Authorized official
Ikechukwu O Arene
President / MD
8182903289
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