Healthcare Provider Details

I. General information

NPI: 1407770258
Provider Name (Legal Business Name): YUSSUF AYINDE ESHINLOKUN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44093 S GRIMMER BLVD
FREMONT CA
94538-6382
US

IV. Provider business mailing address

2028 HIGH ST APT 7
OAKLAND CA
94601-4651
US

V. Phone/Fax

Practice location:
  • Phone: 510-284-7057
  • Fax:
Mailing address:
  • Phone: 209-517-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: