WILSON OLAKUNLE OJO
NPI 1609730670
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since December 12, 2025
12619 AVALON BLVD, LOS ANGELES, CA 90061(323) 757-1881 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wilson Olakunle Ojo NPPES

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

WILSON OLAKUNLE OJO (NPI 1609730670) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95036985) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1609730670
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWILSON OLAKUNLE OJO
Location Address12619 AVALON BLVDLos Angeles, CA 90061-2727
Mailing Address12619 Avalon BlvdLos Angeles, CA 90061-2727 · (323) 757-1881
Sole ProprietorYes
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
NPI 1609730670 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 · 95036985
12619 AVALON BLVD, Los Angeles, CA 90061

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.

Nurse Practitioner (Psychiatric/Mental Health)
12619 AVALON BLVD
LOS ANGELES, CA 90061

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 Wilson Ojo's NPI number?

The NPI number for Wilson Ojo is 1609730670. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Wilson Ojo located?

Wilson Ojo practices at 12619 Avalon Blvd, Los Angeles, CA 90061. The listed phone number is (323) 757-1881.

What is Wilson Ojo'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 Wilson Ojo was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.