Individual
GBENGA S SOWUNMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7745 LEEDS ST, DOWNEY, CA 90242-3489
(562) 719-2866
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
(323) 978-1263
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
05/16/2025
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