Olusegun Adetuyi, MD, MPH
Family Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1417275033
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1417275033
- Entity type
- Individual (NPI-1)
- Name
- Olusegun Adetuyi
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 6, 2010
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A122119 | CA | Yes |
| 208M00000X | Hospitalist | A122119 | CA |
Practice location
4212 N 16th StPhoenix, AZ 85016-5319
Phone 602-263-1200 · Fax 602-263-1619
Mailing address
Po Box 3514Redondo Beach, CA 90277-1514
Phone 559-572-2583
Other practice locations
23639 Hawthorne Blvd
Torrance, CA 90505-5930
Torrance, CA 90505-5930
Phone 559-572-2583
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