Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abideen Adewale Ajuwon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124373071

Abideen Adewale Ajuwon, MD is a Family Practice in Van Nuys, California. Qualified in 2012, 14 years ago. Practices with Lompoc Valley Medical Center, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone: (818) 627-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 W Carson St # 461, Torrance, CA 90502-2004 — (310) 222-2700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A170420 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124373071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lompoc Valley Medical Center — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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