Individual
CASSANDRA OHLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
154 14TH ST, PACIFIC GROVE, CA 93950-2725
(831) 277-2220
Mailing address
PO BOX 51520, PACIFIC GROVE, CA 93950-6520
(831) 277-2220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G56448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G564480
BLUE CROSS BLUE SHIELD
CA
01
—
G564480
STATE OF CA
CA
Enumeration date
08/22/2006
Last updated
12/12/2024
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