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Divine Ojelade, NP

NPI 1417704032 · on the registry since 2024 · sole proprietor

Practice

Address
24060 Fir Ave Ste A
Moreno Valley, CA 92553
Phone
(951) 247-8005
Organisation at this address
Prime Dx Labs Llc
Nextgen Medical Services Inc
Sarath C Witana Medical Group Inc
Heacock Health Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 16675 Shuning Ct, Moreno Valley, CA
  • 3300 N San Fernando Blvd # 201, Burbank, CA
  • 5015 Eagle Rock Blvd Ste 200, Los Angeles, CA

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California