Individual
MR. MARTIN H. OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT, PH.D
Contact information
Practice address
152 S LASKY DR, SUITE 208, BEVERLY HILLS, CA 90212-1720
(310) 993-0557
(213) 201-1392
Mailing address
118 N HAYWORTH AVE, APT. #1, LOS ANGELES, CA 90048-3631
(310) 993-0557
(213) 201-1392
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
38080
CA
106H00000X
Marriage & Family Therapist
38080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380800
BLUESHIELD OF CALIFORNIA
CA
01
—
550010006509
PACIFIC CARE
CA
Enumeration date
07/05/2006
Last updated
09/11/2025
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