Provider Demographics
NPI:1033785274
Name:LITTLE SLOTH HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:LITTLE SLOTH HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAFIKUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBOWALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-627-4877
Mailing Address - Street 1:660 4TH ST STE 168
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1618
Mailing Address - Country:US
Mailing Address - Phone:415-449-2813
Mailing Address - Fax:
Practice Address - Street 1:445 S FIGUEROA ST OFC 3103
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-1602
Practice Address - Country:US
Practice Address - Phone:415-449-2813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty