Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLATUNDE BOSU
ActiveOLATUNDE BOSU is a Addiction Medicine (Family Practice) healthcare provider located in RANCHO MIRAGE, California. NPI 1588070346 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · RANCHO MIRAGE, CA
Registration Details
- NPI Number
- 1588070346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2014 (12.145191226081 yrs)
- Last Updated
- Feb 20, 2023
- Licenses
-
MD462235 (PA)A177863 (CA)
Practice Information
- Address
-
39407 VISTA DEL SOLRANCHO MIRAGE, CA, 922703283Browse CA providers · Browse ZIP 92270
- Phone
- 7607734130
- Fax
- 6077731374
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
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.