Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
UPTIMUM MEDICAL GROUP AND IPA INC
Active
Organization
UPTIMUM MEDICAL GROUP AND IPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUKEMI ADERONKE WALLACE M.D. (DIRECTOR)
(310) 644-8400
Entity
Organization
Contact information
Practice address
2220 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2514
(310) 644-8400
Mailing address
15342 HAWTHORNE BLVD STE 102, LAWNDALE, CA 90260-2181
(310) 644-8400
(310) 644-8424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8831128
—
CA
Enumeration date
01/24/2008
Last updated
10/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up