| Spencer Shirl Olsen, MD | |
|
5575 Ruffin Road, Us Health Works Suite 100, San Diego, CA 92123-1361 | |
| (858) 565-1300 | |
| (858) 565-6932 |
| Full Name | Spencer Shirl Olsen |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 5575 Ruffin Road, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962412767 | NPI | - | NPPES |
| A88450 | Other | CA | LICENSE |
| MD00045600 | Other | WA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | A88450 (California) | Primary |
| Entity Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Shirl Olsen, MD 1800 E Shelby St, Seattle, WA 98112 Ph: (206) 852-8661 | Spencer Shirl Olsen, MD 5575 Ruffin Road, Us Health Works Suite 100, San Diego, CA 92123-1361 Ph: (858) 565-1300 |
Dr. Sankar Sridaran, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 7565 Mission Valley Rd, San Diego, CA 92108 Phone: 619-245-2810 | |
Dr. Christine A. Thorne, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Lewis St Ste 400, San Diego, CA 92103 Phone: 619-471-9260 Fax: 619-471-9300 | |
Dr. Gabriel T Gizaw, M.D, MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 601 Mccain Blvd, Nmrtu North Island, San Diego, CA 92135 Phone: 619-545-4263 | |
Frederick Y Fung, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Fir St, San Diego, CA 92101 Phone: 619-446-1510 Fax: 619-446-1514 | |
Brian C Hoang, PA Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4510 Executive Dr Ste 107, San Diego, CA 92121 Phone: 858-457-4717 | |
Ling Nmn Jing, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Ln, San Diego, CA 92122 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Timothy Wayne O'hara, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3235 Albacore Aly, San Diego, CA 92136 Phone: 619-556-7070 |