Provider Demographics
NPI:1689754665
Name:OLELEWE, SARAH SAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SAM
Last Name:OLELEWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 238
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91376-0238
Mailing Address - Country:US
Mailing Address - Phone:310-679-9293
Mailing Address - Fax:310-679-4017
Practice Address - Street 1:11712 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250
Practice Address - Country:US
Practice Address - Phone:310-679-9293
Practice Address - Fax:310-715-8686
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2018-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA56520207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine