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MR. ADEGBENGA A ADETOLA MD
Nephrology >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1881776219
Individual Registrant:MR. ADEGBENGA A ADETOLA MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3591 EAST IMPERIAL HIGHWAY SUITE 1 LYNWOOD, CA 90262 US
Tel: 310-631-2838 Fax: 310-632-4701
Tel: 310-631-2838 Fax: 310-632-4701
Contact information for business:
3591 EAST IMPERIAL HIGHWAY SUITE 1 LYNWOOD, CA 90262 US
Tel: 310-631-2838 Fax: 310-632-4701
Tel: 310-631-2838 Fax: 310-632-4701
Registration Information:
NPI: 1881776219
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RN0300X | Allopathic & Osteopathic Physicians Internal Medicine Nephrology | CA | A55507 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A555070 | CA | 05 |
