Ndiforchu, Fombe

Ndiforchu, Fombe is an sole proprietor health care provider with primary practice located at 454 E Carson Plaza Dr Suite 110, Carson CA 90746-3209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Ndiforchu, Fombe can be contacted via phone (310) 516-0742.

Contact Information

Primary practice address
454 E Carson Plaza Dr Suite 110 Carson CA 90746-3209
Fax: (310) 516-9158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X A26721 California

Profile Details

NPI number 1982623179
LBN Legal business name Ndiforchu, Fombe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982623179 NPPES
California MEDICAID 00A267210

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