Healthcare Provider Details

I. General information

NPI: 1962937383
Provider Name (Legal Business Name): DAMILOLA AKANI MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W LA VETA AVE
ORANGE CA
92868-4203
US

IV. Provider business mailing address

1201 W LA VETA AVE
ORANGE CA
92868-4203
US

V. Phone/Fax

Practice location:
  • Phone: 714-509-7985
  • Fax: 855-246-2329
Mailing address:
  • Phone: 714-509-7985
  • Fax: 855-246-2329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberA209423
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: