Individual
DR. BOLATITO M ABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4955 VAN NUYS BLVD, 502, SHERMAN OAKS, CA 91403-1801
(818) 325-0200
(818) 325-0210
Mailing address
2022 DELAWARE AVE, #2, SANTA MONICA, CA 90404-4864
(310) 876-9665
(310) 310-3444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
003784
GA
208M00000X
Hospitalist Physician
A122841
CA
Other
Enumeration date
06/29/2009
Last updated
06/25/2013
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