Fajemisin, Babajide Adetokunbo

Fajemisin, Babajide Adetokunbo is an sole proprietor health care provider with primary practice located at 15791 Bear Valley Rd , Hesperia CA 92345-1746. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fajemisin, Babajide Adetokunbo can be contacted via phone (760) 949-1231.

Contact Information

Primary practice address
15791 Bear Valley Rd Hesperia CA 92345-1746
Phone: (760) 949-1231
Fax: (877) 738-3841
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA20295 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1700119567
LBN Legal business name Fajemisin, Babajide Adetokunbo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2009
Last updated Nov 27th, 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 1700119567 NPPES
California MEDICAID EFF:10/29/12
California MEDICAID EFF:10/21/13-VICTORV
California Other P01288530/DU5182
California Other P01282519/DU4034
California MEDICAID EFF.10/21/13-COLTON
California MEDICAID EFF: 1/24/2013
California MEDICAID EFF: 1/18/13
California MEDICAID EFF: 1/18/2013

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