Individual
OLIVER CARINO PETALVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8333 IOWA ST STE 200, DOWNEY, CA 90241-4994
(562) 923-1211
Mailing address
8333 IOWA ST STE 200, DOWNEY, CA 90241-4994
(562) 923-1211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19544
CA
Other
Enumeration date
02/19/2008
Last updated
02/15/2022
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