Provider Demographics
NPI:1154299246
Name:FOUR CROWNS HEALTH AND WELLNESS INC.
Entity type:Organization
Organization Name:FOUR CROWNS HEALTH AND WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKINWUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ONI-ORISAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-646-9254
Mailing Address - Street 1:1817 VIA ARACENA
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-7430
Mailing Address - Country:US
Mailing Address - Phone:734-646-9254
Mailing Address - Fax:
Practice Address - Street 1:280 N WESTLAKE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-7021
Practice Address - Country:US
Practice Address - Phone:734-646-9254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Single Specialty