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General NPI Number Information
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NPI Number | 1154299246
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Entity Type | Organization
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Legal Business Name | FOUR CROWNS HEALTH AND WELLNESS INC.
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 280 N WESTLAKE BLVD STE 210
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-7021
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Country | US
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Telephone | 734-646-9254
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 VIA ARACENA
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City | CAMARILLO
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State | CA
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Zip | 93010-7430
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Country | US
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Telephone | 734-646-9254
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AKINWUNMI ONI-ORISAN
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Credential | MD
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Telephone | 734-646-9254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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