Olsen, Gregg Arden

Olsen, Gregg Arden is an individual health care provider with primary practice located at 181 S Buena Vista St 4Rth Floor, Burbank CA 91505-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Olsen, Gregg Arden can be contacted via phone (818) 840-0921.

Contact Information

Primary practice address
181 S Buena Vista St 4Rth Floor Burbank CA 91505-4504
Fax: (818) 840-7064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G57470 California

Profile Details

NPI number 1427078070
LBN Legal business name Olsen, Gregg Arden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 11th, 2012 - about 13 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 1427078070 NPPES
California MEDICAID OOG574700

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