Okelo, Sande O

Okelo, Sande O is an individual health care provider with primary practice located at 10833 Le Conte Ave 12-311 Mdcc, Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Okelo, Sande O can be contacted via phone (310) 267-0606.

Contact Information

Primary practice address
10833 Le Conte Ave 12-311 Mdcc Los Angeles CA 90095-3075
Phone: (310) 267-0606
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X D56975 Maryland
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X A68246 California

Profile Details

NPI number 1255385985
LBN Legal business name Okelo, Sande O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 16th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255385985 NPPES
Maryland MEDICAID 952101100

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