Anthony Olatunji, DMD in Los Angeles, CA - Medicare Dentist Provider

Anthony Olatunji, DMD is a medicare enrolled "Dentist - General Practice" provider in Los Angeles, California. His current practice location is 11900 Avalon Blvd Ste 101, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 331-8134.

Anthony Olatunji is licensed to practice in California (license number 109702) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932267390.

Contact Information

	Anthony Olatunji, DMD
	11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867
	(310) 331-8134
	(310) 747-5273

Map and Direction

Healthcare Provider's Profile

Full Name	Anthony Olatunji
Gender	Male
Speciality	Dentist - General Practice
Location	11900 Avalon Blvd Ste 101, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932267390
Provider Enumeration Date: 12/05/2006
Last Update Date: 12/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9436562964
Enrollment ID: I20201230001500

Medical Identifiers

Medical identifiers for Anthony Olatunji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932267390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	19621 (Massachusetts)	Secondary
1223G0001X	Dentist - General Practice	109702 (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. Anthony Olatunji is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Anthony Olatunji, DMD 1510 W Artesia Sq Apt C, Gardena, CA 90248-4768 Ph: (781) 774-9885	Anthony Olatunji, DMD 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867 Ph: (310) 331-8134

Reviews and Comments

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Anthony Olatunji, DMD - Medicare Dentist in Los Angeles, CA