Beckley, Olawunmi A.

Beckley, Olawunmi A. is an individual health care provider with primary practice located at 2700 Grant St Suite 110, Concord CA 94520-2266. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Beckley, Olawunmi A. can be contacted via phone (925) 674-2500.

Contact Information

Primary practice address
2700 Grant St Suite 110 Concord CA 94520-2266
Fax: (925) 674-2503
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A69200 California
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A69200 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD071455L Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD071455L Pennsylvania

Profile Details

NPI number 1497789499
LBN Legal business name Beckley, Olawunmi A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 4th, 2013 - about 12 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 1497789499 NPPES
California MEDICAID 00A692000
California Other P00358321

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