MEDICARE: O&T HEALTH AND WELLNESS CENTER LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1588442818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O&T HEALTH AND WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	43823 CATSUE PL
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93536-5488
Country	:	US
Telephone Number	:	480-915-5395
Fax Number	:

Provider Business Practice Location Address
First Line	:	7776 SOUTH POINTE PARKWAY W
Second Line	:	STE 285
City	:	PHOENIX
State	:	AZ
Zip	:	85044
Country	:	US
Telephone Number	:	480-915-5395
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLUWASEGUN VICTOR AFELUMO
Credential	:
Telephone Number	:	480-915-5395

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	12/10/2025

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