Individual
DR. OLU OREDUGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
05
—
00G393450
—
CA
01
—
390007978
RAILROAD MEDICARE
CA
Enumeration date
06/03/2006
Last updated
03/25/2022
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