Most Relevant Information
Provider Data
| NPI Number: | 1003378795 |
| Provider Name: | ALLEN R. OLIVARES |
| Entity Type: | Individual |
| Taxonomy Code: | 227900000X |
| Specialty: | Respiratory Therapist, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2019 |
| Last Updated: | 04/02/2019 |
Provider Practice Location
1670 E 120TH ST
LOS ANGELES
CA
900593026
Practice Location Phone/Fax
| Phone: | 4243381484 |
| Fax: |
Provider Mailing Location
1670 E 120TH ST
LOS ANGELES
CA
900593026
Provider Mailing Phone/Fax
| Phone: | 4243381484 |
| Fax: |