AYODEJI KOLAWOLE AYODELE NPI 1588172639

NPI Information

NPI: 1588172639
Provider Name: AYODEJI KOLAWOLE AYODELE
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3616 PILLSBURY ST
LANCASTER, CA
ZIP 93536
Phone: (661) 317-4162
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Ayodeji Kolawole Ayodele is a student in an organized health care education training program in Lancaster, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ayodeji Kolawole Ayodele NPI is 1588172639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3616 PILLSBURY ST
LANCASTER, CA
ZIP 93536-445
Phone: (661) 317-4162

The enumeration date for this NPI number is 1/10/2018 and was last updated on 3/10/2023.

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	101YM0800X	Counselor	Mental Health	107866	CALIFORNIA	No
2	104100000X	Social Worker				No
3	171M00000X	Case Manager/Care Coordinator				No
4	390200000X	Student in an Organized Health Care Education/Training Program		107866	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	95-2633765	OTHER	CALIFORNIA	MEDI-CAL

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

NPI Synchronization or Removal

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