=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346118759
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STR CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/27/2025
-----------------------------------------------------
Last Update Date | 10/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26960 CHERRY HILLS BLVD STE B
-----------------------------------------------------
City | MENIFEE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92586-2512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-772-6145
-----------------------------------------------------
Fax | 951-720-3766
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26960 CHERRY HILLS BLVD STE B
-----------------------------------------------------
City | MENIFEE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92586-2512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-639-7350
-----------------------------------------------------
Fax | 951-720-3766
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. TAIWO ODUSAMI
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 951-639-7350
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171400000X
-----------------------------------------------------
Taxonomy Name | Health & Wellness Coach
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 202D00000X
-----------------------------------------------------
Taxonomy Name | Integrative Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------