| Oluwafemi Adeyemo,m.d Professional Medical Corporation | |
|
540 N San Jacinto St Suite C Hemet CA 92543-3154 | |
| (951) 492-0728 | |
| (951) 332-8245 |
| Full Name | Oluwafemi Adeyemo,m.d Professional Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 540 N San Jacinto St, Hemet, California |
| Authorized Official Name and Position | Oluwafemi A Adeyemo (PRESIDENT) |
| Authorized Official Contact | 9514920728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oluwafemi Adeyemo,m.d Professional Medical Corporation Po Box 358 San Jacinto CA 92581-0358 Ph: (951) 492-0728 | Oluwafemi Adeyemo,m.d Professional Medical Corporation 540 N San Jacinto St Suite C Hemet CA 92543-3154 Ph: (951) 492-0728 |
| NPI Number | 1700950151 |
|---|---|
| Provider Enumeration Date | 11/19/2006 |
| Last Update Date | 01/29/2008 |
| Medicare PECOS PAC ID | 4688756315 |
|---|---|
| Medicare Enrollment ID | O20080201000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700950151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | A86706 (California) | Primary |
| Provider Name | Oluwafemi A Adeyemo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235166018 PECOS PAC ID: 4284694134 Enrollment ID: I20041014000733 |
| Provider Name | Diane Pm Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376613315 PECOS PAC ID: 4789865940 Enrollment ID: I20110221000736 |
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