Organization
COMMUNI T
Active
Other names
Ola-Olu Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ITHOPIA MCKINNEY (EXECUTIVE DIRECTOR)
(678) 851-4153
Entity
Organization
Contact information
Practice address
10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670
(916) 573-3547
Mailing address
10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670
(678) 851-4153
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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