Organization
SARAH S OLELEWE, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH SAM OLELEWE M.D. (CEO)
(310) 679-9293
Entity
Organization
Contact information
Practice address
11712 HAWTHORNE BLVD, HAWTHORNE, CA 90250-2324
(310) 679-9293
(310) 715-8686
Mailing address
PO BOX 238, AGOURA HILLS, CA 91376-0238
(310) 679-9293
(310) 715-8686
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A56520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A565200
BLUE SHIELD PROV NUMBER
CA
05
—
00A565201
—
CA
Enumeration date
10/16/2006
Last updated
08/30/2018
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