Individual provider · NPI-1

Dr. Michael Ajao, M.D.

Preventive Medicine, Occupational Medicine · San Diego, CA

NPI number1871798207
StatusActive
Last updated in NPPESOct 16, 2025

Details

NPI
1871798207
Entity type
Individual (NPI-1)
Name
Dr. Michael Ajao
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2007
Certification date
Oct 16, 2025
Last updated
Oct 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083X0100X Preventive Medicine, Occupational Medicine0101244668VAYes
2083A0100X Preventive Medicine, Aerospace Medicine0101244668VA

Practice location

34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098

Phone 619-532-7579

Mailing address

7544 Charmant Dr Apt 1326
San Diego, CA 92122-5045

Phone 858-307-4656

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