Olambiwonnu, N Olatunji

Olambiwonnu, N Olatunji is an sole proprietor health care provider with primary practice located at 65 N Madison Ave Suite 304, Pasadena CA 91101-2035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Olambiwonnu, N Olatunji can be contacted via phone (626) 795-5125.

Contact Information

Primary practice address
65 N Madison Ave Suite 304 Pasadena CA 91101-2035
Fax: (626) 795-7969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X G18111 California
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X G18111 California

Profile Details

NPI number 1568551752
LBN Legal business name Olambiwonnu, N Olatunji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568551752 NPPES
California MEDICAID 00G181110

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