institution
L.s.olaes,m.d. A Medical Corporation
Primary Care Clinic/Center in Los Angeles, California
NPI 1205144912

L.s.olaes,m.d. A Medical Corporation is a Primary Care Clinic/Center based in Los Angeles, CA and is specialized in Primary Care. L.s.olaes,m.d. A Medical Corporation practices in Los Angeles, CA. The NPI Number for L.s.olaes,m.d. A Medical Corporation is 1205144912 and holds a License No. A 39580 (California).

The current practice location address for L.s.olaes,m.d. A Medical Corporation is 1267 N Virgil Ave, Los Angeles, CA and can be reached out via phone at 323-664-7628 and via fax at 323-664-7647.

Location: 1267 N Virgil Ave, Los Angeles, CA, 90029-2017
institution
Provider Profile Details
NPI Number
1205144912
Provider Name
L.s.olaes,m.d. A Medical Corporation
Credential
Provider Entity Type
Organization
Address
1267 N Virgil Ave, Los Angeles, CA, 90029-2017
Phone Number
323-664-7628
Fax Number
323-664-7647
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A395800 05 CA
institution
Provider Business Practice Location Address Details
Address
1267 N Virgil Ave
City
State
Zip
90029-2017
Phone Number
323-664-7628
Fax Number
323-664-7647
person
Provider Business Mailing Address Details
Address
1267 N Virgil Ave
City
State
Zip
90029-2017
Phone Number
323-664-7628
Fax Number
323-664-7647
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A 39580 (California)
Definition
Definition to come...
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