Organization
MATERNAL-FETAL MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OGUNDIPE (PRESIDENT)
(310) 603-2345
Entity
Organization
Contact information
Practice address
301 N. PRAIRIE AVE, STE 305, INGLEWOOD, CA 90301-4510
(310) 603-2345
Mailing address
PO BOX 5280, HUNTINGTON BEACH, CA 92615-5280
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0073051
—
CA
Enumeration date
02/13/2007
Last updated
08/22/2020
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