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NPI Code Detail

MEDICARE: OLAYINKA SHOLOLA

MEDICARE: OLAYINKA SHOLOLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist309214CA

General Provider Information

NPI Number : 1780548362
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLAYINKA SHOLOLA
Provider Business Mailing Address
First Line : 12719 W SHERIDAN ST
Second Line :
City : AVONDALE
State : AZ
Zip : 85392-6582
Country : US
Telephone Number : 623-208-8464
Fax Number :
Provider Business Practice Location Address
First Line : 1779 WOODSIDE RD STE 102
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94061-3461
Country : US
Telephone Number : 650-780-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ OLAYINKA SHOLOLA ” Practice Location

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