Danisa, Olumide A
Danisa, Olumide A is an individual health care provider with primary practice located at 25455 Barton Rd Ste 102B , Loma Linda CA 92354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Danisa, Olumide A can be contacted via phone (909) 558-2808.Contact Information
Primary practice address
25455 Barton Rd Ste 102B
Loma Linda CA 92354
Phone: (909) 558-2808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | G89015 | California |
Profile Details
| NPI number | 1467413450 |
|---|---|
| LBN Legal business name | Danisa, Olumide A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jun 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467413450 | NPPES |
| Virginia | MEDICAID | 1467413450 |
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