Individual
DR. TODD OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 MERCED ST, KAISER SAN LEANDRO DEPARTMENT OF SURGERY, SAN LEANDRO, CA 94577-4201
(510) 784-4000
Mailing address
2500 MERCED ST, KAISER SAN LEANDRO DEPARTMENT OF SURGERY, SAN LEANDRO, CA 94577-4201
(510) 454-7100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G78259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G782590
—
CA
Enumeration date
11/01/2006
Last updated
12/13/2021
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