Adesina, Mayowa

Adesina, Mayowa is an individual health care provider with primary practice located at 24613 Hudson St , Moreno Valley CA 92551-6973. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Adesina, Mayowa can be contacted via phone (909) 327-8360.

Contact Information

Primary practice address
24613 Hudson St Moreno Valley CA 92551-6973
Phone: (909) 327-8360
Fax: (909) 247-3328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95024352 California

Profile Details

NPI number 1669170528
LBN Legal business name Adesina, Mayowa
Credentials DNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2023
Last updated May 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669170528 NPPES
California Other 95024352 NP LICENSE NUMBER & NP FURNISHING

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