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

Gbemisola Lawal

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104455351

Gbemisola Lawal is a General Surgery in Colton, California. Qualified in 2020, 6 years ago. Licensed in Alabama and California.

Years since qualifying
6
Licensed in
AL, CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 958-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 51158 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence A189114 (CA)

Record details

NPI number1104455351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Colton