Individual
ANDREA BAOWANG AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 HARRISON ST, 7TH FLOOR, OAKLAND, CA 94612-3466
(510) 625-6262
(510) 625-6226
Mailing address
5714 EASTVIEW DR, STOCKTON, CA 95212-2526
(209) 747-5918
(209) 931-1285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A72668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A726880
—
CA
Enumeration date
11/04/2005
Last updated
07/06/2009
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