# DOTUN OGUNYEMI MD INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447994793
- **Authorized official:** DR. DOTUN OGUNYEMI MD OGUNYEMI MD (PHYSICIAN)
- **Authorized official phone:** (310) 279-3538

## Contact information

- **Practice address:** 8631 W 3RD ST STE 444E, LOS ANGELES, CA 90048-5908
- **Practice address phone:** (310) 652-8141
- **Mailing address:** 900 W OLYMPIC BLVD UNIT 32D, LOS ANGELES, CA 90015-1344
- **Mailing address phone:** (310) 279-3538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/22/2022
- **Last updated:** 10/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 800361660 | — | CA |