Individual
MICHELLE OLMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N STATE ST STE 3300, LOS ANGELES, CA 90089-1001
(323) 409-7422
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
PTL17861
CA
Other
Enumeration date
10/26/2023
Last updated
08/19/2025
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