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NPI Code Detail

MEDICARE: ADENIKE ALAILE OSHODI NP

MEDICARE: ADENIKE ALAILE OSHODI NP
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
1363L00000XNurse Practitioner95038806CA

General Provider Information

NPI Number : 1073231718
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADENIKE ALAILE OSHODI NP
Provider Business Mailing Address
First Line : 2220 W MANCHESTER BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90305-2514
Country : US
Telephone Number : 310-644-8400
Fax Number :
Provider Business Practice Location Address
First Line : 2220 W MANCHESTER BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90305-2514
Country : US
Telephone Number : 310-644-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2022
Last Update Date : 05/24/2026

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