| Doctor Name: | ADEBAMBO OSIBAMIRO |
| NPI Number: | 1114918026 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A64972 |
| Business Practice Address: | 2637 E Carson St Carson, CA - 908101508 |
| Business Phone Number: | 3108471321 |
| Business Fax Number: | |
| Mailing Address: | 210 N Tustin Ave, SANTA ANA |
| State: | CA |
| Postal Code: | 927053807 |
| Phone Number: | 8008837243 |
| Fax Number: | 7146471245 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A64972 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |