# SSO MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740119098
- **Authorized official:** DR. STANLEY OLENICK MD (MD)
- **Authorized official phone:** (310) 503-9782

## Contact information

- **Practice address:** 14550 ARCHWOOD ST STE 103, VAN NUYS, CA 91405-4604
- **Practice address phone:** (310) 503-9782
- **Mailing address:** 14550 ARCHWOOD ST STE 103, VAN NUYS, CA 91405-4604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2026
- **Last updated:** 05/14/2026
