Organization
ADE OSIBAMIRO MD INC
Active
Other names
SANTA FE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PETIT MD (DIRECTOR)
(310) 847-1321
Entity
Organization
Contact information
Practice address
2637 E CARSON ST, CARSON, CA 90810-1508
(310) 847-1321
Mailing address
2637 E CARSON ST, CARSON, CA 90810-1508
(310) 847-1321
(310) 847-1825
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A64972
CA
208D00000X
General Practice Physician
Primary
A64972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A649720
—
CA
05
—
C196078
—
CA
Enumeration date
07/11/2006
Last updated
01/28/2026
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