Individual
MR. FOLUSHO EVERTON OGUNFIDITIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2 UPPER RAGSDALE DR BLDG A, MONTEREY, CA 93940-5736
(831) 333-3040
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 242-8394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA67444
CA
363AS0400X
Surgical Physician Assistant
5601003120
MI
Other
Enumeration date
07/23/2007
Last updated
01/13/2026
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