Individual
DR. BONNIE L OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 383-5519
(310) 268-4467
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 383-5519
(310) 268-4467
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
G68801
CA
2084P0800X
Psychiatry Physician
Primary
G68801
CA
282N00000X
General Acute Care Hospital
G068801
CA
Other
Enumeration date
08/30/2006
Last updated
01/23/2013
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