Bolonduro, Oluwamuyiwa

Bolonduro, Oluwamuyiwa is an individual health care provider with primary practice located at 45104 10Th St W , Lancaster CA 93534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bolonduro, Oluwamuyiwa can be contacted via phone (562) 867-7999.

Contact Information

Primary practice address
45104 10Th St W Lancaster CA 93534
Phone: (562) 867-7999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01078198A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C168133 California

Profile Details

NPI number 1215216965
LBN Legal business name Bolonduro, Oluwamuyiwa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2011
Last updated Sep 5th, 2023 - about 2 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 1215216965 NPPES
Indiana MEDICAID 300002192
Indiana Other 191360022
Indiana MEDICAID 1215216965
Indiana Other CA425840

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