MEDICARE: DR. MARIA EVA OLVERA PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	14876	CA

General Provider Information

NPI Number	:	1568550101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA EVA OLVERA PH.D

Provider Business Mailing Address
First Line	:	26 LOMA AVE UNIT 6
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-2694
Country	:	US
Telephone Number	:	562-930-0306
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 CITY PKWY W
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-2941
Country	:	US
Telephone Number	:	714-834-4132
Fax Number	:	714-568-4527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	01/28/2021

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