Olsen, Erik W

Olsen, Erik W is an individual health care provider with primary practice located at 2140 Grand Ave Ste 125 , Chino Hills CA 91709-6802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Olsen, Erik W can be contacted via phone (909) 630-7875.

Contact Information

Primary practice address
2140 Grand Ave Ste 125 Chino Hills CA 91709-6802
Phone: (909) 630-7875
Fax: (909) 469-2107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A94078 California

Profile Details

NPI number 1639121015
LBN Legal business name Olsen, Erik W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639121015 NPPES
California MEDICAID 1639121015

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