# ADE OSIBAMIRO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SANTA FE MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073547220
- **Authorized official:** DR. THOMAS PETIT MD (DIRECTOR)
- **Authorized official phone:** (310) 847-1321

## Contact information

- **Practice address:** 2637 E CARSON ST, CARSON, CA 90810-1508
- **Practice address phone:** (310) 847-1321
- **Mailing address:** 2637 E CARSON ST, CARSON, CA 90810-1508
- **Mailing address phone:** (310) 847-1321
- **Mailing address fax:** (310) 847-1825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | A64972 | CA | — |
| 208D00000X | General Practice Physician | A64972 | CA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 01/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A649720 | — | CA |
| 05 | — | C196078 | — | CA |