Provider Information for 1104392810
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ESTHER OLAJIDE
Sex: Female
NPI: 1104392810
Last Updated: 2023-12-22
Certification Date: 2023-12-06
Certification Date: 2023-12-06
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1104392810 | ||||||||||||||||
| Enumeration Date | 2018-10-19 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 515 COLUMBIA AVE LOS ANGELES, CA 90017-1209 United States Phone: 213-249-9388 | Fax:213-389-7993 | ||||||||||||||||
| Primary Practice Address | 515 COLUMBIA AVE LOS ANGELES, CA 90017-1209 United States Phone: 213-249-9388 | Fax:213-389-7993 | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|