Elizabeth Olle, MD | |
18255 Brookhurst St, 100, Fountain Valley, CA 92708-6771 | |
(714) 378-5330 | |
(714) 378-5320 |
Full Name | Elizabeth Olle |
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Gender | Male |
Speciality | Family Medicine |
Location | 18255 Brookhurst St, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780630103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A7981 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Elizabeth Olle, MD Po Box 3699, Newport Beach, CA 92659-8699 Ph: (714) 378-5330 | Elizabeth Olle, MD 18255 Brookhurst St, 100, Fountain Valley, CA 92708-6771 Ph: (714) 378-5330 |
Dr. Diana Kim Phung Nguyen Pham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 18642 Bushard St, Fountain Valley, CA 92708 Phone: 714-883-0771 Fax: 714-962-2321 | |
Kevin Howard Schachter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8970 Warner Ave, Fountain Valley, CA 92708 Phone: 714-477-8400 | |
Dr. Kathryn Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18785 S. Brookhurst St, Ste 200, Fountain Valley, CA 92708 Phone: 714-378-5300 Fax: 714-378-5320 | |
Edgar A Fernandez, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9930 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-964-6229 | |
Dr. Robert Allan Devereaux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave, Ste 100, Fountain Valley, CA 92708 Phone: 714-957-9389 Fax: 714-957-0144 | |
Dr. Hung-chuan Cheng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave #118, Fountain Valley, CA 92708 Phone: 714-444-0724 | |
Afdal Ibrahim Allam, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8970 Warner Ave, Fountain Valley, CA 92708 Phone: 714-848-7757 |