Provider Demographics
NPI:1740507052
Name:AKINWOLE, YEMI KAYODE (DNP)
Entity type:Individual
Prefix:MR
First Name:YEMI
Middle Name:KAYODE
Last Name:AKINWOLE
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:MR
Other - First Name:YEMI
Other - Middle Name:KAYODE
Other - Last Name:AKINWOLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:19703 GALWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-2320
Mailing Address - Country:US
Mailing Address - Phone:310-753-2468
Mailing Address - Fax:310-769-6802
Practice Address - Street 1:1110 W ANAHEIM ST STE 6
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744
Practice Address - Country:US
Practice Address - Phone:310-753-2468
Practice Address - Fax:310-769-6802
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA498018163W00000X, 163WI0500X, 163WI0600X
CA95000369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control