Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | E3325 | CA |
N | 213ES0000X | Sports Medicine | E3325 | CA |
Y | 213ES0103X | Foot & Ankle Surgery | E3325 | CA |
NPI | 1043241888 |
---|---|
Provider Name | Dr. Lawrence M Oloff |
First Address | Los Altos, CA 94022-1408 |
Second Address | Daly City, CA 94015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 23/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T11635 | (02) |