Healthcare Provider Details

I. General information

NPI: 1275929333
Provider Name (Legal Business Name): OLGA MEAVE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: OLGA ANDRADE MARTINEZ M.D.

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 WIBLE RD STE 14
BAKERSFIELD CA
93304-4734
US

IV. Provider business mailing address

PO BOX 1559
BAKERSFIELD CA
93302-1559
US

V. Phone/Fax

Practice location:
  • Phone: 661-835-1240
  • Fax: 661-835-4667
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-326-1347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA152415
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: