| Gisella Victoria Olivares, DO | |
|
1770 N Orange Grove Ave, Pomona, CA 91767-3027 | |
| (909) 469-9494 | |
| (909) 620-7285 |
| Full Name | Gisella Victoria Olivares |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1770 N Orange Grove Ave, Pomona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821138405 | NPI | - | NPPES |
| 1821138405 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8664 (California) | Primary |
| Entity Name | Premier Family Medicine Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912907114 PECOS PAC ID: 4284547522 Enrollment ID: O20031111000889 |
| Entity Name | Benacare Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427101369 PECOS PAC ID: 3476543695 Enrollment ID: O20040518000450 |
| Entity Name | Gracelight Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104075282 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Gisella Victoria Olivares, DO 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767-3027 Ph: (909) 469-9494 | Gisella Victoria Olivares, DO 1770 N Orange Grove Ave, Pomona, CA 91767-3027 Ph: (909) 469-9494 |
Mohamed Elsharkawy, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120 | |
Kim Hoang Vu, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120 | |
Mr. Wilbert Timothy Tsai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Royalty Dr Ste 302, Pomona, CA 91767 Phone: 909-623-6581 Fax: 909-623-1751 | |
Christopher Joseph Edward Harper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 E Artesia St Ste 220, Pomona, CA 91767 Phone: 909-865-1020 Fax: 909-620-1090 | |
Dr. Steven A Destefano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3801 W Temple Ave, 46, Pomona, CA 91768 Phone: 909-869-4000 Fax: 909-869-4561 | |
Christine Kwon, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120 | |
April Michelle Ford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 E Bonita Ave, 2nd Floor, Pomona, CA 91767 Phone: 909-447-8585 Fax: 909-447-8593 |