Individual
FUNMILOLA FASHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14445 OLIVE VIEW DRIVE, OLIVE VIEW-UCLA MEDICAL CENTER, SYLMAR, CA 91342
(818) 364-3205
(818) 364-4573
Mailing address
14445 OLIVE VIEW DRIVE, OLIVE VIEW-UCLA MEDICAL CENTER, SYLMAR, CA 91342
(818) 364-3205
(818) 364-4573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95001568
CA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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