Adegboyega Akintunde Akinsanya
Individual provider Active NPI Counselor · Inglewood, CA
NPI 1306221569 · NPPES record last updated Oct 8, 2015
Key facts
- NPI
- 1306221569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1007 Myrtle Avenue
Inglewood, CA 90301 - Phone
- (310) 412-4191
- Fax
- (310) 412-3942
- NPI assigned
- Jul 29, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1007 Myrtle Avenue
Inglewood, CA 90301
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 390-6612
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.