Individual
MRS. ADEBOLA A KOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
43875 WASHINGTON ST STE C, PALM DESERT, CA 92211-8249
(833) 935-6377
(833) 935-6377
Mailing address
23851 ALBERS ST, WOODLAND HILLS, CA 91367-5809
(833) 935-6377
(833) 935-6377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95016000
NURSE PRACTITIONER LICENSE NUMBER
CA
Enumeration date
11/23/2020
Last updated
07/07/2023
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