Ayodeji Kolawole Ayodele, is a
Student In An Organized Health Care Education/training Program based in Lancaster, California. Ayodeji Kolawole Ayodele is licensed to practice in California (license number 107866) and his current practice location is
3616 Pillsbury St, Lancaster, California. He can be reached at his office (for appointments etc.) via phone at
(661) 317-4162.
NPI number for Ayodeji Kolawole Ayodele is 1588172639 and his current mailing address is 3616 Pillsbury St, Lancaster, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588172639.
Healthcare Provider's Profile
| Full Name | Ayodeji Kolawole Ayodele |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3616 Pillsbury St, Lancaster, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588172639
- Provider Enumeration Date: 01/10/2018
- Last Update Date: 03/10/2023
Medical Identifiers
Medical identifiers for Ayodeji Kolawole Ayodele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588172639 | NPI | - | NPPES |
| 95-2633765 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 107866 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 107866 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ayodeji Kolawole Ayodele is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ayodeji Kolawole Ayodele,
3616 Pillsbury St,
Lancaster, CA 93536-1445
Ph: (661) 317-4162 | Ayodeji Kolawole Ayodele,
3616 Pillsbury St,
Lancaster, CA 93536-1445
Ph: (661) 317-4162 |
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