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NPI Code Detail

MEDICARE: JOSE BELIZARIO OLIVAS JR.

MEDICARE: JOSE BELIZARIO OLIVAS JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor13785CA

General Provider Information

NPI Number : 1124907332
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE BELIZARIO OLIVAS JR.
Provider Business Mailing Address
First Line : 3131 INDEPENDENCE DR
Second Line :
City : LIVERMORE
State : CA
Zip : 94551-7595
Country : US
Telephone Number : 925-388-8059
Fax Number : 925-336-3277
Provider Business Practice Location Address
First Line : 10898 BOESSOW RD
Second Line :
City : GALT
State : CA
Zip : 95632-8451
Country : US
Telephone Number : 925-334-7186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2025
Last Update Date : 09/01/2025

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