MEDICARE: KWABENA OSEI, MD. INC

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	207K00000X	Allergy & Immunology Physician
2	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1467317594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KWABENA OSEI, MD. INC

Provider Business Mailing Address
First Line	:	15290 SUMMIT AVE STE B
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-0240
Country	:	US
Telephone Number	:	909-225-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	15290 SUMMIT AVE STE B
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-0240
Country	:	US
Telephone Number	:	909-225-1900
Fax Number	:

Authorized Official
Title or Position	:	PEDIATRICIAN
Name	:	DR. KWABENA OSEI
Credential	:	MD
Telephone Number	:	574-303-2350

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	04/28/2026

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