Individual
MR. ADEGBOYEGA AKINTUNDE AKINSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 MYRTLE AVENUE, INGLEWOOD, CA 90301
(310) 412-4191
(310) 412-3942
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
Other
Enumeration date
07/29/2015
Last updated
10/08/2015
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