Search › California › 163WP1700X
Ebony Adagun
NPI 1831059120 · on the registry since 2025 · sole proprietor
Practice
- Address
- 21800 Avalon Blvd Unit 442
Carson, CA 90745 - Phone
- (909) 446-2556
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WP1700X
163WP1700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-18
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