Healthcare Provider Details

I. General information

NPI: 1063152247
Provider Name (Legal Business Name): OLIVIA CHRISTINE GARCIA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 EMERYVILLE DRIVE SUITE 110
CRANBERRY TOWNSHIP PA
16066-5020
US

IV. Provider business mailing address

125 EMERYVILLE DRIVE SUITE 110
CRANBERRY TOWNSHIP PA
16066-5020
US

V. Phone/Fax

Practice location:
  • Phone: 724-449-3245
  • Fax: 724-449-3233
Mailing address:
  • Phone: 724-449-3245
  • Fax: 724-449-3233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number125.079850
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS026412
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: