Healthcare Provider Details

I. General information

NPI: 1831351162
Provider Name (Legal Business Name): JOSEPH PATRICK OLVERA BA, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43020 BLACK DEER LOOP STE 102
TEMECULA CA
92590-3406
US

IV. Provider business mailing address

43020 BLACK DEER LOOP STE 102
TEMECULA CA
92590-3406
US

V. Phone/Fax

Practice location:
  • Phone: 951-383-5575
  • Fax:
Mailing address:
  • Phone: 951-383-5575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number116287
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: