Oluwatoyosi Aishat Aderonmu

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Soledad, CA

NPI 1720577893 · NPPES record last updated May 4, 2023

Key facts

NPI
1720577893
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
31625 Highway 101 S
Soledad, CA 93960-9529
Phone
(760) 956-2345
Fax
(760) 956-3761
NPI assigned
May 4, 2018
Sex
Female
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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

31625 Highway 101 S
Soledad, CA 93960-9529

Mailing address

11121 Everest St
Adelanto, CA 92301-4621
Phone (951) 251-9123

Other providers in Soledad, CA

All providers in Soledad, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.