Provider Demographics
NPI:1093869596
Name:ADENIJI, BENI ADEGOKE (MD)
Entity Type:Individual
Prefix:
First Name:BENI
Middle Name:ADEGOKE
Last Name:ADENIJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 W. BEVERLY BLVD
Mailing Address - Street 2:CEDARS-SINAI MEDICAL CENTER
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-423-0895
Mailing Address - Fax:310-423-1040
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:SUITE 160 WEST
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-0895
Practice Address - Fax:310-423-0140
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69154207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH53994Medicare UPIN