Individual
MARANATHA AYODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-2000
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 423-2000
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
A115049
CA
2084N0400X
Neurology Physician
A115049
CA
2084N0400X
Neurology Physician
ME123858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043442197
—
CA
Enumeration date
08/21/2009
Last updated
12/02/2019
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