Healthcare Provider Details

I. General information

NPI: 1013071869
Provider Name (Legal Business Name): LINDA OLIVER D.C., L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9750 MIRAMAR RD STE 180
SAN DIEGO CA
92126-7501
US

IV. Provider business mailing address

9750 MIRAMAR RD STE 180
SAN DIEGO CA
92126-7501
US

V. Phone/Fax

Practice location:
  • Phone: 858-800-1247
  • Fax: 858-800-1248
Mailing address:
  • Phone: 858-800-1247
  • Fax: 858-800-1248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28933
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC10949
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: