1013151265 NPI number — OLADAPO AKINGBADE AKINTONDE M.D.

Table of content: OLADAPO AKINGBADE AKINTONDE M.D. (NPI 1013151265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013151265 NPI number — OLADAPO AKINGBADE AKINTONDE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AKINTONDE
Provider First Name:
OLADAPO
Provider Middle Name:
AKINGBADE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013151265
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
NAVY CLINIC BLDG 1164, 36TH AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT HUENEME
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93043-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-982-6341
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NAVY CLINIC
Provider Second Line Business Practice Location Address:
162 FIRST AVENUE BLDG 1402
Provider Business Practice Location Address City Name:
PORT HUENEME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-982-6341
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  35.078849 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: C181332 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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