Provider Demographics
NPI:1083471445
Name:PRECISION HEALTH CONSULTING & CLINIC
Entity Type:Organization
Organization Name:PRECISION HEALTH CONSULTING & CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUYEMISI
Authorized Official - Middle Name:ADERONKE
Authorized Official - Last Name:OLUBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:951-638-1315
Mailing Address - Street 1:11725 CLEMATIS DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-8494
Mailing Address - Country:US
Mailing Address - Phone:951-638-1315
Mailing Address - Fax:
Practice Address - Street 1:11725 CLEMATIS DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-8494
Practice Address - Country:US
Practice Address - Phone:951-638-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty