IndividualActive
Tai Odusami, PHD
NPI 1720835788 · Recovery Care Clinic/Center · Menifee, CA
Provider details
- NPI number
- 1720835788
- Entity type
- Individual
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health & Wellness Coach171400000X
Other Service Providers
Practice location
25630 Felicia Ave
Menifee, CA 92586-2376
Phone: (951) 772-6402
Approximate (ZIP-level) locationGet directions
Mailing address
25630 Felicia Ave
Menifee, CA 92586-2376
Registry dates
- Enumerated
- 2024-05-06
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.