OMOWUNMI BALOGUN NPI 1811369424

NPI Information

  • NPI: 1811369424
  • Provider Name: OMOWUNMI BALOGUN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1717 N VERDUGO RD
    APT 161
    GLENDALE, CA
    ZIP 91208
  • Phone: (310) 279-2818

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NPI Details

Omowunmi Balogun is a family nurse practitioner in Glendale, CA with 12 years of experience. Omowunmi Balogun NPI is 1811369424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1717 N VERDUGO RD
APT 161
GLENDALE, CA
ZIP 91208-934
Phone: (310) 279-2818

The NPI 1811369424 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/22/2015 and was last updated on 10/22/2015.

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
1363LF0000XNurse PractitionerFamily95003203CALIFORNIAYes

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: 11/21/2025

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