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Olivia Taeko Ishibashi, MD,MPH
Family Medicine Physician in Santa Monica, California
NPI 1033670138

Olivia Taeko Ishibashi is a Family Medicine Physician based in Los Angeles, CA. Olivia Taeko Ishibashi practices in Santa Monica, CA and has the professional credentials of MD,MPH. The NPI Number for Olivia Taeko Ishibashi is 1033670138 and holds a License No. 178419 (California).

The current practice location address for Olivia Taeko Ishibashi is 1920 Colorado Ave, Santa Monica, CA and can be reached out via phone at 310-319-4711. You can also correspond with Olivia Taeko Ishibashi through the mailing address at 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA - 90045-5631 (mailing address contact number: ).

Location: 1920 Colorado Ave, Santa Monica, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033670138
Provider Name
Olivia Taeko Ishibashi
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Female
Address
1920 Colorado Ave, Santa Monica, CA, 90045-5631
Phone Number
310-319-4711
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1920 Colorado Ave
City
Santa Monica
State
California
Zip
90404-3414
Phone Number
310-319-4711
Fax Number
person
Provider Business Mailing Address Details
Address
5767 W Century Blvd Ste 400
City
Los Angeles
State
California
Zip
90045-5631
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
178419 (California)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
178419 (California)
Definition
Definition to come.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
178419 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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