MEDICARE: ELVIA OLIVARRIA

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	225400000X	Rehabilitation Practitioner
2	106H00000X	Marriage & Family Therapist	126388	CA

General Provider Information

NPI Number	:	1750581211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELVIA OLIVARRIA

Provider Business Mailing Address
First Line	:	11429 VALLEY BLVD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-3229
Country	:	US
Telephone Number	:	626-442-8391
Fax Number	:

Provider Business Practice Location Address
First Line	:	9890 COUNTY FARM RD STE 3
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3678
Country	:	US
Telephone Number	:	951-509-8320
Fax Number	:

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

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	05/26/2026

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Directions to “ ELVIA OLIVARRIA ” Practice Location

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