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NPI Code Detail

MEDICARE: MAKEDA ROSHUN KAYODE REGISTERED NURSE

MEDICARE:   MAKEDA ROSHUN KAYODE  REGISTERED NURSE
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
1163WP0808XPsychiatric/Mental Health Registered Nurse95049790CA

General Provider Information

NPI Number : 1447101126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKEDA ROSHUN KAYODE REGISTERED NURSE
Provider Business Mailing Address
First Line : 2610 W BAYLOR CIR APT 105
Second Line :
City : ANAHEIM
State : CA
Zip : 92801-4908
Country : US
Telephone Number : 323-396-4549
Fax Number :
Provider Business Practice Location Address
First Line : 8835 VANS ST
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-4656
Country : US
Telephone Number : 562-633-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2026
Last Update Date : 02/07/2026

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Directions to “ MAKEDA ROSHUN KAYODE REGISTERED NURSE” Practice Location

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