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NPI Code Detail

MEDICARE: OLUSOLA A. OYEMADE M.D.

MEDICARE:   OLUSOLA A. OYEMADE  M.D.
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
1208000000XPediatrics PhysicianA025950CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649297573
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUSOLA A. OYEMADE M.D.
Provider Business Mailing Address
First Line : 7777 MILLIKEN AVE
Second Line : SUITE 360
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-6780
Country : US
Telephone Number : 909-944-7099
Fax Number : 909-944-4865
Provider Business Practice Location Address
First Line : 7777 MILLIKEN AVE
Second Line : SUITE 360
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-6780
Country : US
Telephone Number : 909-944-7099
Fax Number : 909-944-4865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 07/09/2007

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Directions to “ OLUSOLA A. OYEMADE M.D.” Practice Location

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