Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omni Dermatology Olive LLC

Organization Specialist · NPI 1669914172

Omni Dermatology Olive LLC is a Specialist in Glendale, Arizona. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5700 W Olive Ave Ste 101
Glendale, AZ 85302-3147
Phone: (602) 559-5470
Fax: (602) 559-5471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1669914172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Racette — President · (602) 954-3919
NPI enumeratedNovember 15, 2016
Last updated in NPPESNovember 15, 2016
Mailing address4840 E Indian School Rd, Ste 102, Phoenix, AZ 85018-5500

Other providers in Glendale