Individual provider · Type 1 NPI

Mary Olubukola Fakunle

Urology Physician · Santa Monica, CA

NPI number 1134625874 Active

Practice location

1260 15th St Ste 1200
Santa Monica, CA 90404-1147

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 513 Parnassus Ave # S321, San Francisco, CA 94143-2205 · (415) 476-1239

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XA163588 (CA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1134625874

Mary Olubukola Fakunle's National Provider Identifier is 1134625874, issued on Apr 2, 2018. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 2, 2024.