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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. OLATUNDE HAFIS BASHORUN JR., MD

Active Sole Proprietor

DR. OLATUNDE HAFIS BASHORUN JR., MD is a Student (Health Education/Training) healthcare provider located in SAN DIEGO, California. NPI 1417707555 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · SAN DIEGO, CA

Registration Details

NPI Number
1417707555
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2024 (2.3686607608492 yrs)
Last Updated
Mar 22, 2024
Sole Proprietor
Yes

Practice Information

Address
402 DICKINSON ST
SAN DIEGO, CA, 921036902
Browse CA providers · Browse ZIP 92103
Phone
6195438254
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in SAN DIEGO, CA

Name Credential NPI
DR. RODNEY ISAAC 1922166982
DR. JACOB KURIAKOSE MD 1982759361
ANDREW SILVESTRI 1548316193
MS. JENNIFER ALMEHAR MARTINEZ SW INTERN 1992842637
DR. BRADLEY RICHARD WILLIAMS M.D. 1518004340
YASMIN LLANO MFT TRAINEE 1003956335
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.