Ishibashi, Olivia Taeko

Ishibashi, Olivia Taeko is an individual health care provider with primary practice located at 1920 Colorado Ave , Santa Monica CA 90404-3414. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ishibashi, Olivia Taeko can be contacted via phone (310) 319-4711.

Contact Information

Primary practice address
1920 Colorado Ave Santa Monica CA 90404-3414
Phone: (310) 319-4711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 178419 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 178419 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 178419 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A178419 California

Profile Details

NPI number 1033670138
LBN Legal business name Ishibashi, Olivia Taeko
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2019
Last updated Jul 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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