Individual
MR. ADEGBENGA A ADETOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3591 EAST IMPERIAL HIGHWAY, SUITE 1, LYNWOOD, CA 90262
(310) 631-2838
(310) 632-4701
Mailing address
3591 EAST IMPERIAL HIGHWAY, SUITE 1, LYNWOOD, CA 90262
(310) 631-2838
(310) 632-4701
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A55507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A555070
—
CA
Enumeration date
10/19/2006
Last updated
06/11/2008
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