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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