Individual provider · Type 1 NPI

Odilia Olivares, PA-C

Physician Assistant · Pacoima, CA

NPI number 1457352247 Active

Practice location

12540 Pierce St
Pacoima, CA 91331-1701

Fax (818) 899-3864

Mailing address

1172 N Maclay Ave
San Fernando, CA 91340-1328

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X149 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1457352247

Odilia Olivares, PA-C's National Provider Identifier is 1457352247, issued on Aug 3, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pacoima, CA. The record was last updated on Jul 13, 2026.