Oliverio Medical Group | |
330 W Ramsey St Banning CA 92220-4823 | |
(951) 849-1950 | |
(951) 849-0080 |
Full Name | Oliverio Medical Group |
---|---|
Speciality | Family Medicine |
Location | 330 W Ramsey St, Banning, California |
Authorized Official Name and Position | Joy M Oliverio (ADMINISTRATOR) |
Authorized Official Contact | 9518491950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oliverio Medical Group 330 W Ramsey St Banning CA 92220-4823 Ph: (951) 849-1950 | Oliverio Medical Group 330 W Ramsey St Banning CA 92220-4823 Ph: (951) 849-1950 |
NPI Number | 1578618088 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 09/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578618088 | NPI | - | NPPES |
GR0057980 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00A450420 (California) | Primary |
207R00000X | Internal Medicine | 00A332270 (California) | Secondary |
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