Olusegun Z. Salako M.D. Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G67118 Issued in CA

Legal business name

OLUSEGUN Z. SALAKO M.D. INC

Practice address

1951 Pacific Ave
Long Beach, CA 90806-5321

Phone

(562) 218-6264

Fax

(562) 218-0745

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thecla N. Mgbojirkwe, M.D.

Title

Pediatric Specialist/Medical Direct

Phone

(562) 218-6264

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Comfort Medical Clinic Doing business as

Tax ID family

Comfort Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Olusegun Z. Salako M.D. Inc

  • Obstetrics & Gynecology Physician
  • Wilmington, CA
  • NPI 1679746713
  NPD tax ID

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1699852871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065321",
            "telephone_number": "562-218-6264",
            "fax_number": "562-218-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065321",
            "telephone_number": "562-218-6264",
            "fax_number": "562-218-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUSEGUN Z. SALAKO M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MGBOJIRKWE",
        "authorized_official_first_name": "THECLA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PEDIATRIC SPECIALIST/MEDICAL DIRECT",
        "authorized_official_telephone_number": "562-218-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A83572",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G67118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098550",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0098551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilia Sue Olson, MD, PHD
• Harold Gaylord Olson, M.D.
• Nancy Lynn Olson, RN, NP
• Tarin Frances Olson
• Tiffany Olson
• Annette Olvera
• Genaro Olvera
• Kendra Olvera
• Maria Alejandra Olvera
• Om Healthcare, Inc.

• Obstetrics & Gynecology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.