Odutola, Taiwo Odukoya

Odutola, Taiwo Odukoya is an sole proprietor health care provider with primary practice located at 21880 Orrick Ave , Carson CA 90745-3052. 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. Odutola, Taiwo Odukoya can be contacted via phone (310) 927-2119.

Contact Information

Primary practice address
21880 Orrick Ave Carson CA 90745-3052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95022131 California

Profile Details

NPI number 1467178947
LBN Legal business name Odutola, Taiwo Odukoya
Credentials OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2022
Last updated Dec 19th, 2023 - about last year

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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