Provider Demographics
NPI:1982731972
Name:OLSON, CATHERINE E (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:E
Last Name:OLSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2401 KEITH ST
Mailing Address - Street 2:SOUTHEAST HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-3231
Mailing Address - Country:US
Mailing Address - Phone:415-671-7000
Mailing Address - Fax:415-822-3838
Practice Address - Street 1:2401 KEITH ST
Practice Address - Street 2:SOUTHEAST HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-3231
Practice Address - Country:US
Practice Address - Phone:415-671-7000
Practice Address - Fax:415-822-3838
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68337207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
059386OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
H66303Medicare UPIN