Individual
ABIDEEN ADEWALE AJUWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 627-3000
Mailing address
PO BOX 1431, EL SEGUNDO, CA 90245-6431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A170420
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2012
Last updated
10/18/2021
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