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Organization
IYABO DARAMOLA MD INC
Active
Organization
IYABO DARAMOLA MD INC
Active
Other names
CARING HEARTS MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IYABO O DARAMOLA MD (PRESIDENT)
(619) 479-6767
Entity
Organization
Contact information
Practice address
2401 REO DR, SAN DIEGO, CA 92139-3025
(619) 479-6767
(619) 434-8840
Mailing address
PO BOX 675833, RANCHO SANTA FE, CA 92067-5833
(619) 479-6767
(619) 434-8840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098920
—
CA
Enumeration date
08/11/2006
Last updated
09/06/2013
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