Active NPIIndividual providerSole proprietor

Olayemi D Adekoya

Licensed Psychiatric Technician in San Diego, California

NPI Number1093670408
Practice location
4309 3RD Ave, San Diego, CA 92103-1407
Fax
—
Last updated
December 17, 2025

Olayemi Damilola Adekoya is a Licensed Psychiatric Technician based in San Diego, CA. Olayemi Damilola Adekoya practices in San Diego, CA. The NPI Number for Olayemi Damilola Adekoya is 1093670408 and holds a License No. 43118 (CA). The current practice location address for Olayemi Damilola Adekoya is 4309 3RD Ave, San Diego, CA 92103-1407 and can be reached out via phone at 619-876-4502.

Provider Profile Details

NPI Number
1093670408
Provider Name
Olayemi Damilola Adekoya
Provider Entity Type
Individual
Gender
Female
Address
4309 3RD Ave, San Diego, CA 92103-1407
Phone Number
619-876-4502
Primary Taxonomy
Licensed Psychiatric Technician · 167G00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 17, 2025
Last Update Date
December 17, 2025
Certification Date
December 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4309 3RD Ave
San Diego, CA 92103-1407
Zip
92103-1407
Phone Number
619-876-4502
San Diego, CA 92103Get directions →

Provider Business Mailing Address Details

Address
5638 Lake Murray Blvd # 197
La Mesa, CA 91942-1929
City
La Mesa
State
CA
Zip
91942-1929
Phone Number
619-876-4502

License Information

License Number
43118
License State
CA
Taxonomy
Licensed Psychiatric Technician · 167G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Olayemi D Adekoya?

The NPI number of Olayemi D Adekoya is 1093670408. It was assigned on December 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Olayemi D Adekoya?

Olayemi D Adekoya is registered under the primary taxonomy Licensed Psychiatric Technician (code 167G00000X), licensed in CA under license number 43118.

Where does Olayemi D Adekoya practice?

The practice location is 4309 3RD Ave, San Diego, CA 92103-1407. The office can be reached at 619-876-4502 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093670408 directly on the NPPES registry website.

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