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Individual

SANDE O OKELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10833 LE CONTE AVE, 12-311 MDCC, LOS ANGELES, CA 90095-3075
(310) 267-0606
Mailing address
10833 LE CONTE AVE, 32-263 CHS, LOS ANGELES, CA 90095-3075
(310) 267-0606

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
A68246
CA
2080P0214X
Pediatric Pulmonology Physician
D56975
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
952101100
MD
Enumeration date
05/19/2006
Last updated
11/16/2011
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