DAMILOLA ADEFESO PMHNP
NPI 1295423838
Nurse Practitioner - Psychiatric/Mental Health in Long Beach, CA
Active since May 01, 2023
About Damilola Adefeso Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAMILOLA ADEFESO PMHNP (NPI 1295423838) is an individual psychiatric/mental health provider in Long Beach, California, licensed in California (95024717) and active in the NPI registry since May 2023.
NPPES Registry Identity
NPI1295423838
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAMILOLA ADEFESOCredential: PMHNP
Location Address4500 E PACIFIC COAST HWYLong Beach, CA 90804-3275
Mailing Address4500 E Pacific Coast HwyLong Beach, CA 90804-3275
Phone(925) 900-6178
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateSeptember 1, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1295423838 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95024717
4500 E PACIFIC COAST HWY, Long Beach, CA 90804
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
4500 E PACIFIC COAST HWY, SUITE 120
LONG BEACH, CA 90804
LONG BEACH, CA 90804
Marriage & Family Therapist
4500 E PACIFIC COAST HWY, #120
LONG BEACH, CA 90804
LONG BEACH, CA 90804
Marriage & Family Therapist
4500 E PACIFIC COAST HWY
LONG BEACH, CA 90804
LONG BEACH, CA 90804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295423838, enumerated as an "individual" on May 01, 2023.
The provider is located at 4500 E PACIFIC COAST HWY LONG BEACH, CA 90804 and the phone number is (925) 900-6178.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
