MEDICARE: OLUCHI URSLAR ORIH

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
1	164X00000X	Licensed Vocational Nurse	738899	CA

General Provider Information

NPI Number	:	1316893472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUCHI URSLAR ORIH

Provider Business Mailing Address
First Line	:	16812 S NEW HAMPSHIRE AVE APT C
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-6056
Country	:	US
Telephone Number	:	562-634-9534
Fax Number	:	562-790-1771

Provider Business Practice Location Address
First Line	:	16812 S NEW HAMPSHIRE AVE APT C
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-6056
Country	:	US
Telephone Number	:	562-634-9534
Fax Number	:	562-790-1771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ OLUCHI URSLAR ORIH ” Practice Location

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