Organization
OLU OREDUGBA MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLU OREDUGBA M.D. (PRESIDENT)
(310) 671-3148
Entity
Organization
Contact information
Practice address
575 E HARDY ST, SUITE 104, INGLEWOOD, CA 90301-4036
(310) 671-3148
(310) 671-0878
Mailing address
8540 S SEPULVEDA BLVD, LOS ANGELES, CA 90045
(310) 671-3148
(310) 671-0878
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G39345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390007978
RAILROAD MEDICARE
CA
05
—
OOG393450
—
CA
Enumeration date
07/08/2006
Last updated
06/02/2025
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