Provider Demographics
NPI:1891969572
Name:AYOOLAARCHIE, OLATOKUNBO MORENIKE (MD)
Entity Type:Individual
Prefix:DR
First Name:OLATOKUNBO
Middle Name:MORENIKE
Last Name:AYOOLAARCHIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6824
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-6824
Mailing Address - Country:US
Mailing Address - Phone:661-550-1443
Mailing Address - Fax:
Practice Address - Street 1:2748 DELMAR AVE
Practice Address - Street 2:
Practice Address - City:MOJAVE
Practice Address - State:CA
Practice Address - Zip Code:93501-1148
Practice Address - Country:US
Practice Address - Phone:661-998-9385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0013439207R00000X
CAA79131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine