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Princella Graziel Elefante Olalo

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as PRINCELLA OLALO.

Based on the most recent information from CMS, provider Princella Graziel Elefante Olalo is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1215461991
Provider Type
Individual
Full Name
Olalo, Princella Graziel Elefante
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/19/2017
Last Updated
10/28/2024

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Mailing Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A158193 California
Code 2080P0203X	Description Pediatrics Allopathic & Osteopathic Physicians	License 158193 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Princella Graziel Elefante Olalo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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