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MR. ADEGBENGA A ADETOLA MD

Nephrology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1881776219

Individual Registrant:
MR. ADEGBENGA A ADETOLA MD
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

Contact information for business:
3591 EAST IMPERIAL HIGHWAY SUITE 1 LYNWOOD, CA 90262 US
Tel: 310-631-2838  Fax: 310-632-4701

Registration Information:
NPI: 1881776219
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RN0300XAllopathic & Osteopathic Physicians
Internal Medicine
Nephrology
CAA55507

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A555070CA05




HEALTH CARE JOBS CA - Page 1



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