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Organization
GLORIA DE OLARTE M.D. INC.
Active
Organization
GLORIA DE OLARTE M.D. INC.
Active
Other names
Gloria De Olarte M.D. Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA DE OLARTE I DOCTOR (OWNER)
(626) 577-7965
Entity
Organization
Contact information
Practice address
65 N.MADISON AVENUE, SUITE 406, PASADENA, CA 91101
(626) 577-7965
Mailing address
65 N.MADISON AVENUE, SUITE 406, PASADENA, CA 91101
(626) 577-7965
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A35537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457436685
NPI
CA
Enumeration date
11/27/2007
Last updated
11/27/2007
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