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Contact Information

AUGUSTA U IKHISEMOJIE, MD
6485 DAY ST STE 305
RIVERSIDE, CA92507
 Phone: 951-413-6433
 Fax: 951-413-6633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Acupuncturist

171100000X
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AUGUSTA U IKHISEMOJIE · (Female)

NPI # 1457389041
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 09/18/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A67133
  • TX License # P1462
  • CA Medicaid 00A671330
  • CA Other 00A671330 BLUE SHIELD
  • TX Other P1462 MEDICARE ID - TYPE UNSPECIFIED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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