MEDICARE: DR. OYEWALE OYEDEJI ABIDOYE 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
1	207RH0003X	Hematology & Oncology Physician	A98243	CA

General Provider Information

NPI Number	:	1790841815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OYEWALE OYEDEJI ABIDOYE M.D.

Provider Business Mailing Address
First Line	:	700 W HARBOR DR
Second Line	:	UNIT 301
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-7753
Country	:	US
Telephone Number	:	619-795-4318
Fax Number	:

Provider Business Practice Location Address
First Line	:	9850 GENESEE AVE
Second Line	:	SUITE 400
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1224
Country	:	US
Telephone Number	:	858-558-8666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2007
Last Update Date	:	08/13/2008

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