Individual
ADEKUNLE SAMSON ADEGBITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4960 ARLINGTON AVE STE B, RIVERSIDE, CA 92504-2738
(951) 341-8930
(951) 341-8932
Mailing address
231 E ALESSANDRO BLVD # A805, RIVERSIDE, CA 92508-5084
(951) 341-8935
(951) 341-8932
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95013014
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95013014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95013014
STATE OF CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
12/17/2019
Last updated
02/13/2020
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