MEDICARE: LABAKE SUNITA ADETIMEHIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	738662	CA

General Provider Information

NPI Number	:	1780446351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LABAKE SUNITA ADETIMEHIN

Provider Business Mailing Address
First Line	:	4411 E CESAR CHAVEZ BLVD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93702-3604
Country	:	US
Telephone Number	:	559-600-7180
Fax Number	:

Provider Business Practice Location Address
First Line	:	3127 N MILLBROOK AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-1425
Country	:	US
Telephone Number	:	559-453-1008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	05/14/2026

Similar Medicare Providers

1891626230 — FABIAN ADILBER CARREON
Practice Location Address:

3115 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-600-2382
Practice Fax:

1902111263 — RONALDO VICTORIANO ALONZO
Practice Location Address:

3127 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-453-1008
Practice Fax:

1013782838 — YER VUE
Practice Location Address:

3115 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-600-2382
Practice Fax:

1588548523 — AVA MICHELLE SMITH
Practice Location Address:

3115 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-600-2382
Practice Fax:

1265964498 — KONG CHENG XIONG RN
Practice Location Address:

3127 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-453-1008
Practice Fax:

1376399063 — JORGE RENE SOTO LPT
Practice Location Address:

3115 N MILLBROOK AVE
FRESNO, CA
93703-1425

Practice Phone: 559-600-2382
Practice Fax:

Directions to “ LABAKE SUNITA ADETIMEHIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.