Olympia Health Care LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

93000105 Issued in CA

Legal business name

OLYMPIA HEALTH CARE LLC

Doing business as

Olympia Medical Center

Practice address

5900 W Olympic Blvd
Los Angeles, CA 90036-4671

Phone

(310) 657-5900

Fax

(323) 932-5163

NPI assigned

Feb 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matt Williams

Title

Chief Financial Officer

Phone

(323) 932-5062

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Olympia Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahram F Ravan, M.D.

  • Specialist
  • Beverly Hills, CA
  • NPI 1073544417
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1245371343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364671",
            "telephone_number": "310-657-5900",
            "fax_number": "323-932-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364671",
            "telephone_number": "310-657-5900",
            "fax_number": "323-932-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "323-932-5062"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "93000105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30477H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40477H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympia Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margie Olvera, LCSW
• Maria Olvera
• Maria R Olvera
• Sylvia Vanessa Olvera, M.D.
• Mojtaba Olyaie, M.D
• Olympia MSC Kim Chiropractic, Inc.
• Olympia Physical Therapy and Performance Inc
• Olympia Plaza Pharmacy Inc (Olympia Plaza Pharmacy)
• Olympic Imaging Services
• Olympic Imaging Services

• General Acute Care Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.