OLU OREDUGBAM.D. A PROFESSIONAL MEDICAL CORPORATION NPI 1215960968

NPI Information

NPI: 1215960968
Provider Name: OLU OREDUGBA,M.D. A PROFESSIONAL MEDICAL CORPORATION
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
575 E HARDY ST
SUITE 104
INGLEWOOD, CA
ZIP 90301
Phone: (310) 671-3148
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OLU OREDUGBA,M.D. A PROFESSIONAL MEDICAL CORPORATION is a nephrology internal medicine in Inglewood, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. OLU OREDUGBA,M.D. A PROFESSIONAL MEDICAL CORPORATION NPI is 1215960968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

575 E HARDY ST
SUITE 104
INGLEWOOD, CA
ZIP 90301-036
Phone: (310) 671-3148
Fax: (310) 671-0878

The provider's authorized official is Olu Oredugba .
The authorized official title is President and has the following contact phone number (310) 671-3148.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 3/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	G39345	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OOG393450	MEDICAID	CALIFORNIA
2	390007978	OTHER	CALIFORNIA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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