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05D0888670 CLIA NUMBER - OLUSOLA A OYEMADE MD FAAP INC

Laboratory Demographics

CLIA Number: 05D0888670

Facility Name: OLUSOLA A OYEMADE MD FAAP INC

Facility Address:
7777 MILLIKEN AVENUE SUITE 360
RANCHO CUCAMONGA, CA
ZIP 91730
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Facility Phone Number: 909 944-7099

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1649297573

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 05D0888670
LAB Type Physician Office
Facility Name OLUSOLA A OYEMADE MD FAAP INC
Street 7777 MILLIKEN AVENUE SUITE 360
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 944-7099
CertificateType 4
CertificateEffectiveDate 6/3/2023
CertificateExpirationDate 6/2/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024