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Organization
HICKORY CALIFORNIA PC
Active
Organization
HICKORY CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL OLIVERO MD (OWNER)
(814) 499-3009
Entity
Organization
Contact information
Practice address
19929 GREENLEY RD, SONORA, CA 95370-5996
(814) 499-3009
Mailing address
15 AMERICA AVE UNIT 103, LAKEWOOD, NJ 08701-4583
(814) 499-3009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
09/08/2025
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