Individual
DR. JOHN MICHAEL OLICHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(858) 657-8540
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 642-3685
(858) 552-7513
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G68500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G685000
—
CA
Enumeration date
07/13/2006
Last updated
06/26/2012
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