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Search › California › 363A00000X

Pedro Olmedocolor, PA-C

NPI 1447454814 · on the registry since 2007

Practice

Address
3300 E South St
Suite 305
Lakewood, CA 90805
Phone
(562) 622-8102
Fax
(562) 622-6072
Organisation at this address
Active Life, Llc
Jacob Rekem Md Inc
Stump And Ahmadpour
Caremore Health Plan
P Gonzalez Dental Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California