Olaolu Incorporation

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD60329818 Issued in WA

Legal business name

OLAOLU INCORPORATION

Practice address

10301 Jeffreys St
Henderson, NV 89052-3922

Phone

(702) 453-3799

Fax

(702) 453-5741

NPI assigned

May 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Labrecque

Title

Accounts Manager

Phone

(702) 453-3799

Specialties & licenses 2

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1174960629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81452",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891801452",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 JEFFREYS ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523922",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAOLU INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60329818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE",
            "identifier": "14674",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LIC",
            "identifier": "MD60329818",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saro Oknaian, DMD
• Kintaro Oku, DC
• Okuda Orthodontics, PLLC
• Brady C Okuda, DMD, MSD
• Cherelle Ola, M.S.
• Faith Olape
• Juliet Olape, RN
• Alexander Olavides
• Derek Oldroyd, DPT
• Danielle Marie Olds

• Hospitalist Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Hospitalist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.