Provider Demographics
NPI:1528732914
Name:OLUMIDE AKINGBEMI MD INC
Entity type:Organization
Organization Name:OLUMIDE AKINGBEMI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUMIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINGBEMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-267-0661
Mailing Address - Street 1:727 W 7TH ST PH 1-21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-3732
Mailing Address - Country:US
Mailing Address - Phone:213-267-0661
Mailing Address - Fax:
Practice Address - Street 1:727 W 7TH ST PH 1-21
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3732
Practice Address - Country:US
Practice Address - Phone:213-267-0661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty