Individual
OLIVIA TIRADO
Active
Individual
OLIVIA TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA21265
CA
363AS0400X
Surgical Physician Assistant
Primary
PA21265
CA
Other
Enumeration date
11/13/2010
Last updated
11/16/2023
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