| Edgar Olivas M.d., Inc | |
|
300 W Huntington Dr Arcadia CA 91007-3402 | |
| (626) 400-6802 | |
| Not Available |
| Full Name | Edgar Olivas M.d., Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 W Huntington Dr, Arcadia, California |
| Authorized Official Name and Position | Laura Yit (MANAGER) |
| Authorized Official Contact | 6264006802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Olivas M.d., Inc 713 W Duarte Rd # G316 Arcadia CA 91007-7564 Ph: (626) 400-6802 | Edgar Olivas M.d., Inc 300 W Huntington Dr Arcadia CA 91007-3402 Ph: (626) 400-6802 |
| NPI Number | 1811584196 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 8325443799 |
|---|---|
| Medicare Enrollment ID | O20210823002975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811584196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Edgar Olivas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770902611 PECOS PAC ID: 3173857133 Enrollment ID: I20190625001159 |
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