Individual provider · Type 1 NPI
Taiwo Odukoya Odutola, OWNER
Psychiatric/Mental Health Nurse Practitioner · Carson, CA
NPI number
1467178947
Active
Practice location
21880 Orrick Ave
Carson, CA 90745-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95022131 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467178947
Taiwo Odukoya Odutola, OWNER's National Provider Identifier is 1467178947, issued on Oct 17, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Carson, CA. The record was last updated on Dec 19, 2023.