Healthcare Provider Details

I. General information

NPI: 1023943305
Provider Name (Legal Business Name): OLIVIA ELIZABETH MILLS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 W GONZALES RD STE 340
OXNARD CA
93036-0733
US

IV. Provider business mailing address

19409 N 60TH AVE
GLENDALE AZ
85308-7674
US

V. Phone/Fax

Practice location:
  • Phone: 480-309-7901
  • Fax:
Mailing address:
  • Phone: 480-309-7901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: