Search › California › 207QA0401X
Olatunde Bosu
NPI 1588070346 · on the registry since 2014
Practice
- Address
- 39407 Vista Del Sol
Rancho Mirage, CA 92270 - Phone
- (760) 773-4130
- Fax
- (607) 773-1374
- Organisation at this address
- Hazelden Betty Ford Foundation
Hazelden Betty Ford FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 100 North Academy Ave, Danville, PA
- 405 Belcher St, Centreville, AL
Registry record
- Primary taxonomy
- 207QA0401X
207QA0401X
- Also registered as
- 207Q00000X
- Licence states on file
- PA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-20
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