Physician Compare National (NPI:1376602953)

HEALTHCARE PROVIDER: OLUWOLE FAJOLU MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1376602953
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082800784
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101119000967
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FAJOLU
	Individual professional last name
Provider First Name	OLUWOLE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	THORACIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIAC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GENERAL PRACTICE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	VASCULAR SURGERY
	Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIAC SURGERY, GENERAL PRACTICE, VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	SKILLED FACILITY HEALTH CARE SOLUTIONS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9032299144
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	63
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	12029 AVALON BLVD
	Group Practice or individual's line 1 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900612838
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3237568291
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y