Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | NMW1019 | CA |
NPI | 1154382216 |
---|---|
Provider Name | Ms. Angela Onosolabomi Sojobi |
First Address | Moreno Valley, CA 92553-5263 |
Second Address | Moreno Valley, CA 92553-5263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NMW010190 | (05) | CA |
NMW010191 | (05) | CA |