Olajuwon Abijo

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Highland, CA

NPI 1710356100 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1710356100
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
72042 (CA)
Practice address
4210 Highland Ave
Highland, CA 92346-2742
Phone
(951) 269-8188
NPI assigned
Sep 16, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Luscious Heart Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 72042 CA Yes

Addresses

Primary practice location

4210 Highland Ave
Highland, CA 92346-2742

Mailing address

16733 Spyglass Court
Fontana, CA 92336
Phone (951) 269-8188

Other providers in Highland, CA

All providers in Highland, CA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

Sources for this page

Verify at the official NPI Registry.