NPI 1134625874

Mary Olubukola Fakunle

Practitioner Urology Physician Santa Monica, CA

Practice location

Address: 1260 15th St STE 1200, Santa Monica, CA 90404-1147
Phone: (310) 794-7700
Mailing address: 5767 W Century Blvd STE 400, Los Angeles, CA 90045-5631

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence A163588 (CA)

Other Urology providers in California →

Registry record

NPI: 1134625874
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2018
Record last updated: 2 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.