Johanna Lynn Olson

MD | Pediatric Adolescent Medicine | Female

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Complete Profile:

Johanna Lynn Olson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Johanna Lynn Olson
Credential :	MD
Gender :	Female

Business Address:

Johanna Lynn Olson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4650 W Sunset Blvd, Ms# 2 Los Angeles, CA, 90027-6062 United States
Phone Number :	323-669-2153
Fax Number :	323-913-3691

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1396831665
NPI Entity Type :	Individual
First Enrolment Date :	05 Oct, 2006
Last Updated On :	10 Aug, 2011

Medicare Participation:

Johanna Lynn Olson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8921015082
Medicare Enrollment ID :	I20060314000650
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1997
Accepts Medicare?	Yes. Johanna Lynn Olson accepts medicare insurance.

Group Practice Association:

Johanna Lynn Olson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Johanna Lynn Olson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Hospital Los Angeles Medical Group Inc	0143126920	163	4650 W Sunset Blvd Los Angeles, CA - 900276062 Ph: 3233618408	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Johanna Lynn Olson are as mentioned. Primary taxonomy code for Johanna Lynn Olson, MD is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	A67352	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5000 W Sunset Blvd, 4th Floor Los Angeles, CA, 90027-5861 United States
Phone Number :	323-361-3824
Fax Number :	323-644-8488

Business Location:

Patients can refer following map for directions to Johanna Lynn Olson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.