Provider Demographics
NPI:1497941306
Name:OLANIPEKUN, OLUFUNMILAYO (DPM)
Entity Type:Individual
Prefix:DR
First Name:OLUFUNMILAYO
Middle Name:
Last Name:OLANIPEKUN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E TAMARACK AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-6300
Mailing Address - Country:US
Mailing Address - Phone:310-412-2709
Mailing Address - Fax:
Practice Address - Street 1:415 E TAMARACK AVE
Practice Address - Street 2:UNIT 1
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-6300
Practice Address - Country:US
Practice Address - Phone:310-412-2709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4794213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist