Olive Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C22547 Issued in CA

Legal business name

OLIVE MEDICAL ASSOCIATES PC

Practice address

358 E Olive Ave
Burbank, CA 91502-1215

Phone

(818) 561-4868

Fax

(747) 229-9288

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Alva A Marsh, MD

Title

Ceo

Phone

(818) 561-4868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1831621127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021215",
            "telephone_number": "818-561-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021215",
            "telephone_number": "818-561-4868",
            "fax_number": "747-229-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "ALVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-561-4868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C22547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Avenue Medical Pharmacy Inc (Olive Avenue Medical Pharmacy)
• Olive Crest Treatment Ctr.
• Olive Health Medical Group Inc
• Olive Health Pediatrics Inc
• Olive International Inc
• Olive Professional Diagnostic, Inc.
• Olive Sleep & Eeg Inc
• Olive View Hospice Care
• Oliveglen Hospice Care, Inc.
• Jeury Olivo Liz

• Internal Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.