Search › California › 104100000X
Kufreabasi Idiong
NPI 1992335442 · on the registry since 2020
Practice
- Address
- 39990 Faure Rd
Hemet, CA 92544 - Phone
- (951) 708-4020
- Organisation at this address
- Dhhs Ihs Cao Desert Sage Youth Wellness Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California