Provider Demographics
NPI:1447661996
Name:WARRITAY, OLAYINKA KENNETH (MD)
Entity type:Individual
Prefix:DR
First Name:OLAYINKA
Middle Name:KENNETH
Last Name:WARRITAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3967 E THOUSAND OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3628
Mailing Address - Country:US
Mailing Address - Phone:805-309-0880
Mailing Address - Fax:805-418-9887
Practice Address - Street 1:3967 E THOUSAND OAKS BLVD
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3628
Practice Address - Country:US
Practice Address - Phone:972-745-7500
Practice Address - Fax:972-956-8887
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA149212207Q00000X
MI4301105139207Q00000X
CAA149212207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine