Provider Demographics
NPI:1396345245
Name:OLADIMEJI, OLUWATOYIN (DNP/PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:OLUWATOYIN
Middle Name:
Last Name:OLADIMEJI
Suffix:
Gender:F
Credentials:DNP/PMHNP-BC
Other - Prefix:DR
Other - First Name:TOYIN
Other - Middle Name:
Other - Last Name:OLADIMEJI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:12658 DUTCH CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-9279
Mailing Address - Country:US
Mailing Address - Phone:678-622-6131
Mailing Address - Fax:
Practice Address - Street 1:9990 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3542
Practice Address - Country:US
Practice Address - Phone:678-622-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015769363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health