Provider Demographics
NPI:1457582439
Name:OLMOS, KAREN ELISA MILIAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELISA MILIAN
Last Name:OLMOS
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1403 LOMITA BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-2076
Mailing Address - Country:US
Mailing Address - Phone:310-534-7600
Mailing Address - Fax:
Practice Address - Street 1:1403 LOMITA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-2076
Practice Address - Country:US
Practice Address - Phone:310-534-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2012-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA114027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA114027OtherCALIFORNIA MEDICAL LICENSE