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Organization
ADE OSIBAMIRO MD INC
Active
Organization
ADE OSIBAMIRO MD INC
Active
Other names
SANTA FE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PETIT MD (DIRECTOR)
(310) 847-1321
Entity
Organization
Contact information
Practice address
2637 E CARSON ST, CARSON, CA 90810-1508
(310) 847-1321
Mailing address
2637 E CARSON ST, CARSON, CA 90810-1508
(310) 847-1321
(310) 847-1825
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A64972
CA
208D00000X
General Practice Physician
Primary
A64972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A649720
—
CA
05
—
C196078
—
CA
Enumeration date
07/11/2006
Last updated
01/28/2026
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