Abideen Adewale Ajuwon, MD
Family Medicine in Van Nuys, CA. Individual provider (NPI-1).
NPI number1124373071
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1124373071
- Entity type
- Individual (NPI-1)
- Name
- Abideen Adewale Ajuwon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2012
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A170420 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7515 Van Nuys BlvdVan Nuys, CA 91405-1949
Phone 818-627-3000
Mailing address
Po Box 1431El Segundo, CA 90245-6431
Other practice locations
1000 W Carson St # 461
Torrance, CA 90502-2004
Torrance, CA 90502-2004
Phone 310-222-2700 · Fax 310-533-1841
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