Healthcare Provider Details

I. General information

NPI: 1295051852
Provider Name (Legal Business Name): OLUWATONI JANET ARENE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23119 SOBOBA RD
SAN JACINTO CA
92583-2904
US

IV. Provider business mailing address

23119 SOBOBA RD
SAN JACINTO CA
92583-2904
US

V. Phone/Fax

Practice location:
  • Phone: 951-654-0803
  • Fax: 951-487-9634
Mailing address:
  • Phone: 951-654-0803
  • Fax: 951-487-9634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA122516
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: