Healthcare Provider Details

I. General information

NPI: 1316441801
Provider Name (Legal Business Name): ELIZABETH GADIA OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21730 S VERMONT AVE # 122
TORRANCE CA
90502-2196
US

IV. Provider business mailing address

21730 S VERMONT AVE # 122
TORRANCE CA
90502-2196
US

V. Phone/Fax

Practice location:
  • Phone: 310-781-3422
  • Fax:
Mailing address:
  • Phone: 310-781-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: