Provider Demographics
NPI:1386832046
Name:VOLUNTEERS OF AFRICA
Entity Type:Organization
Organization Name:VOLUNTEERS OF AFRICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IFE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUGHALU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-752-9723
Mailing Address - Street 1:1704 W MANCHESTER AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3063
Mailing Address - Country:US
Mailing Address - Phone:323-752-9723
Mailing Address - Fax:
Practice Address - Street 1:1704 W MANCHESTER AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-3063
Practice Address - Country:US
Practice Address - Phone:323-752-9723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7245302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7245OtherDRUG MEDI-CAL