Ogun, Omolade

Ogun, Omolade is an individual health care provider with primary practice located at 4676 Admiralty Way Fl 4 , Marina Del Rey CA 90292-6601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ogun, Omolade can be contacted via phone (310) 306-6966.

Contact Information

Primary practice address
4676 Admiralty Way Fl 4 Marina Del Rey CA 90292-6601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A121040 California

Profile Details

NPI number 1548526494
LBN Legal business name Ogun, Omolade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Oct 1st, 2021 - about 3 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.

Request for update

Popular Providers