Individual
JOSE OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6900
Mailing address
117 N B ST, LOMPOC, CA 93436-6901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
03/23/2026
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