Olsen, Walter L

Olsen, Walter L is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Olsen, Walter L can be contacted via phone (800) 926-8273.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (800) 926-8273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X G55091 California

Profile Details

NPI number 1720051485
LBN Legal business name Olsen, Walter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Sep 19th, 2019 - about 6 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 1720051485 NPPES
California MEDICAID GR0083811
California MEDICAID GR0083815
California MEDICAID ZZZ75341Z
California MEDICAID GR0083810
California MEDICAID GR0083814
California MEDICAID GR0083812
California MEDICAID GR0083813
California MEDICAID GR0083816
California MEDICAID GR0083817

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