Ayodele, Maranatha
Ayodele, Maranatha is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is her primary health care specialty. Ayodele, Maranatha can be contacted via phone (310) 423-2000.Contact Information
Primary practice address
8700 Beverly Blvd
West Hollywood CA 90048-1804
Phone: (310) 423-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME123858 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A115049 | California |
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | A115049 | California |
Profile Details
| NPI number | 1043442197 |
|---|---|
| LBN Legal business name | Ayodele, Maranatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2009 |
| Last updated | Dec 2nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043442197 | NPPES |
| California | MEDICAID | 1043442197 |
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