MEDICARE: DR. ADERONKE OJO D.P.M

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E4601	CA

General Provider Information

NPI Number	:	1346391620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADERONKE OJO D.P.M

Provider Business Mailing Address
First Line	:	PO BOX 9425
Second Line	:
City	:	PITTSBURG
State	:	CA
Zip	:	94565-9425
Country	:	US
Telephone Number	:	925-597-0936
Fax Number	:	925-597-0936

Provider Business Practice Location Address
First Line	:	5504 MONTEREY HWY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95138-1529
Country	:	US
Telephone Number	:	408-729-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	07/25/2017

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