Healthcare Provider Details

I. General information

NPI: 1922979459
Provider Name (Legal Business Name): PATRICIA MARIA OLOW CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2152 FIEGER ST
SAN DIEGO CA
92105-5433
US

IV. Provider business mailing address

2152 FIEGER ST
SAN DIEGO CA
92105-5433
US

V. Phone/Fax

Practice location:
  • Phone: 619-347-0579
  • Fax:
Mailing address:
  • Phone: 619-347-0579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number3046
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: