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NPI Code Detail

MEDICARE: ATALANTA C OLITO D.O.

MEDICARE: ATALANTA C OLITO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician20A6471CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245222363
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATALANTA C OLITO D.O.
Provider Business Mailing Address
First Line : PO BOX 3098
Second Line :
City : TORRANCE
State : CA
Zip : 90510-3098
Country : US
Telephone Number : 310-792-3914
Fax Number : 855-898-4055
Provider Business Practice Location Address
First Line : 28062 BAXTER RD
Second Line :
City : MURRIETA
State : CA
Zip : 92563-1401
Country : US
Telephone Number : 951-290-4000
Fax Number : 951-672-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 02/14/2013

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