Gloria De Olarte
Surgeon Plastic Hand Surgeon
65 N Madison Ave Ste 406
Pasadena
, California 91101-2049
Gloria De Olarte
Surgeon Plastic Hand Surgeon
65 N Madison Ave Ste 406
Pasadena
, California 91101-2049
(626) 577-4625
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Gloria De Olarte
- 65 N Madison Ave Ste 406
- Pasadena, CA
- Zip : 91101-2049
- Fax : (626) 577-4625
- Phone : (626) 577-7965
Second Address
- Gloria De Olarte
- 65 N Madison Ave Ste 406
- Pasadena, CA
- Zip : 91101-2049
- Fax : (626) 577-4625
- Phone : (626) 577-7965
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | A35537 | CA |
| Y | 208600000X | Surgeon | A35537 | CA |
| N | 2082S0105X | Plastic Hand Surgeon | A35537 | CA |
National Provider Identifier
| NPI | 1457436685 |
|---|---|
| Provider Name | Gloria De Olarte |
| First Address | Pasadena, CA 91101-2049 |
| Second Address | Pasadena, CA 91101-2049 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 17/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1558542076 | NPI (01) | CA |
| 953661841 | TAX ID (01) | CA |
| A35537 | LICENCE (01) | CA |
| AD9322265 | DEA (01) | CA |
| C35448 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.