MEDICARE: O & A WELLNESS GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	172M00000X	Mechanotherapist
3	174H00000X	Health Educator
4	175F00000X	Naturopath
5	225700000X	Massage Therapist
6	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1912883133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O & A WELLNESS GROUP, INC.

Provider Business Mailing Address
First Line	:	110 MARY AVENUE
Second Line	:	SUITE 2-298
City	:	NIPOMO
State	:	CA
Zip	:	93444
Country	:	US
Telephone Number	:	805-867-7298
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 W GRAND AVE
Second Line	:
City	:	GROVER BEACH
State	:	CA
Zip	:	93433-2250
Country	:	US
Telephone Number	:	805-867-7298
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CLINICIAN
Name	:	DR. ABIOLA OLUFUNLAYO OLADOKE
Credential	:	PHD, MSHNFM, CLT
Telephone Number	:	805-867-7298

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “O & A WELLNESS GROUP, INC. ” Practice Location

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