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Organization
OLIVERIO MEDICAL GROUP
Active
Organization
OLIVERIO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY M OLIVERIO (ADMINISTRATOR)
(951) 849-1950
Entity
Organization
Contact information
Practice address
330 W RAMSEY ST, BANNING, CA 92220-4823
(951) 849-1950
(951) 849-0080
Mailing address
330 W RAMSEY ST, BANNING, CA 92220-4823
(951) 849-1950
(951) 849-0080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00A450420
CA
207R00000X
Internal Medicine Physician
00A332270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057980
—
CA
Enumeration date
01/24/2007
Last updated
09/11/2012
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