Provider Demographics
NPI:1467877993
Name:SOLANKE, FAKOLEJO OLUROTIMI
Entity Type:Individual
Prefix:
First Name:FAKOLEJO
Middle Name:OLUROTIMI
Last Name:SOLANKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7118 WESTVIEW PL
Mailing Address - Street 2:APT D
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-1483
Mailing Address - Country:US
Mailing Address - Phone:619-245-5155
Mailing Address - Fax:
Practice Address - Street 1:21050 CALIFA ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5103
Practice Address - Country:US
Practice Address - Phone:818-462-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30070227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified