NPI | 1558542076 |
---|---|
Former Legal Business Name | GLORIA DE OLARTE M.D. INC. |
Entity Type | Organization |
Authorized Contact | GLORIA DE OLARTE Owner 626-577-7965 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A35537) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2007-11-27 |