Yanira Olaya M.d., Inc. | |
4060 Fourth Ave Ste 102 San Diego CA 92103-2120 | |
(619) 717-8888 | |
Not Available |
Full Name | Yanira Olaya M.d., Inc. |
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Speciality | Psychiatry & Neurology |
Location | 4060 Fourth Ave Ste 102, San Diego, California |
Authorized Official Name and Position | Yanira Olaya (M.D.) |
Authorized Official Contact | 6197178888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Yanira Olaya M.d., Inc. 7486 La Jolla Blvd # 162 La Jolla CA 92037-5029 Ph: (619) 717-8888 | Yanira Olaya M.d., Inc. 4060 Fourth Ave Ste 102 San Diego CA 92103-2120 Ph: (619) 717-8888 |
NPI Number | 1538448725 |
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Provider Enumeration Date | 08/05/2011 |
Last Update Date | 04/07/2023 |
Certification Date | 04/07/2023 |
Medicare PECOS PAC ID | 3274703723 |
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Medicare Enrollment ID | O20110819000319 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538448725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | A94208 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | A94208 (California) | Primary |
Provider Name | Yanira M Olaya |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174679047 PECOS PAC ID: 1355414830 Enrollment ID: I20080716000393 |
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