Omoruyi, Osayamen O

Omoruyi, Osayamen O is an individual health care provider with primary practice located at 12746 W Jefferson Blvd # 3000 , Playa Vista CA 90094-2885. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Omoruyi, Osayamen O can be contacted via phone (424) 315-2452.

Contact Information

Primary practice address
12746 W Jefferson Blvd # 3000 Playa Vista CA 90094-2885
Phone: (424) 315-2452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME146315 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A163248 California

Profile Details

NPI number 1467814582
LBN Legal business name Omoruyi, Osayamen O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Sep 13th, 2022 - 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.

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