Organization
AYODELE OKUNOLA MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYODELE O OKUNOLA MD (OWNER)
(775) 200-3398
Entity
Organization
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
Mailing address
PO BOX 4102, SPARKS, NV 89432-4102
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A119344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13936
NV LIC
NV
01
—
A119344
CA LIC
CA
Enumeration date
06/13/2012
Last updated
03/23/2023
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