Organization Name: | JINADU MEDICAL GROUP INC. |
NPI Number: | 1306123377 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BABATUNDE ADEGBITE JINADU (PRESIDENT/MEDICAL DIRECTOR) |
Mailing Address: | 7612 Linda Vista Rd Ste 109 San Diego |
State: | CA US |
Postal Code: | 921115313 |
Phone Number: | 8585652150 |
Fax Number: | 8582796751 |
NPI Enumeration Date: | 11/04/2011 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C038721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |