Oyemade, Olusola A.

Oyemade, Olusola A. is an sole proprietor health care provider with primary practice located at 7777 Milliken Ave Suite 360, Rancho Cucamonga CA 91730-6780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Oyemade, Olusola A. can be contacted via phone (909) 944-7099.

Contact Information

Primary practice address
7777 Milliken Ave Suite 360 Rancho Cucamonga CA 91730-6780
Phone: (909) 944-7099
Fax: (909) 944-4865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A025950 California

Profile Details

NPI number 1649297573
LBN Legal business name Oyemade, Olusola A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1649297573 NPPES
California MEDICAID 00A259501

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