TAIWO ODUKOYA ODUTOLA OWNER
NPI 1467178947
Nurse Practitioner - Psychiatric/Mental Health in Carson, CA

Q: What is Taiwo Odutola's NPI number?

The NPI number for Taiwo Odutola is 1467178947. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Q: What is Taiwo Odutola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Taiwo Odutola was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2022

21880 ORRICK AVE, CARSON, CA 90745(310) 927-2119 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Taiwo Odukoya Odutola Owner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAIWO ODUKOYA ODUTOLA OWNER (NPI 1467178947) is an individual psychiatric/mental health provider in Carson, California, licensed in California (95022131) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1467178947

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTAIWO ODUKOYA ODUTOLACredential: OWNER

Location Address21880 ORRICK AVECarson, CA 90745-3052

Mailing Address21880 Orrick AveCarson, CA 90745-3052 · (310) 927-2119

Phone(310) 927-2119

Sole ProprietorYes

Enumeration DateOctober 17, 2022

Last NPPES UpdateDecember 19, 2023

NPPES CertifiedDecember 19, 2023

✔ NPI 1467178947 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 · 95022131

21880 ORRICK AVE, Carson, CA 90745

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATERSIDE HEALTHCARE SERVICES INC

Nurse Practitioner (Psychiatric/Mental Health)

21880 ORRICK AVE
CARSON, CA 90745

Los Angeles County (310) 927-2119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taiwo Odutola's NPI number?

The NPI number for Taiwo Odutola is 1467178947. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Taiwo Odutola located?

Taiwo Odutola practices at 21880 Orrick Ave, Carson, CA 90745. The listed phone number is (310) 927-2119.

What is Taiwo Odutola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Taiwo Odutola was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.