Individual
JOHN O OLOWOYEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 E MARCH LN, SUITE A-170, STOCKTON, CA 95210-6629
(209) 951-9886
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A48005
CA
207RI0011X
Interventional Cardiology Physician
A48005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004372440
AETNA
—
05
—
00A480050
—
CA
01
—
037196
HILL PHYSICIANS MED GROUP
—
01
—
P165123
RAILROAD MEDICARE PIN
—
Enumeration date
08/23/2006
Last updated
01/31/2014
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