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NPI Code Detail

MEDICARE: OLUSOLA D FALODE

MEDICARE:   OLUSOLA D FALODE
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
1376K00000XNurse's Aide00444012CA

General Provider Information

NPI Number : 1447014576
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUSOLA D FALODE
Provider Business Mailing Address
First Line : 2401 OCEAN VIEW AVE APT 22
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2293
Country : US
Telephone Number : 323-472-0915
Fax Number :
Provider Business Practice Location Address
First Line : 2401 OCEAN VIEW AVE APT 22
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2293
Country : US
Telephone Number : 323-472-0915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2024
Last Update Date : 02/08/2024

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Directions to “ OLUSOLA D FALODE ” Practice Location

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