Adesina, Mayowa
Adesina, Mayowa is an individual health care provider with primary practice located at 24613 Hudson St , Moreno Valley CA 92551-6973. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Adesina, Mayowa can be contacted via phone (909) 327-8360.Contact Information
Primary practice address
24613 Hudson St
Moreno Valley CA 92551-6973
Phone: (909) 327-8360
Fax: (909) 247-3328
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95024352 | California |
Profile Details
NPI number | 1669170528 |
---|---|
LBN Legal business name | Adesina, Mayowa |
Credentials | DNP, PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2023 |
Last updated | May 10th, 2024 - about 4 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669170528 | NPPES |
California | Other | 95024352 | NP LICENSE NUMBER & NP FURNISHING |
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