MEDICARE: DR. LINDA A. OLIVER AU.D.

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
1	237600000X	Audiologist-Hearing Aid Fitter	AU1192	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AU0011920	OTHER	CA	BLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number	:	1396740213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA A. OLIVER AU.D.

Provider Business Mailing Address
First Line	:	3990 OLD TOWN AVE STE C207
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-2933
Country	:	US
Telephone Number	:	619-297-3131
Fax Number	:	619-297-0595

Provider Business Practice Location Address
First Line	:	3990 OLD TOWN AVE STE C207
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-2933
Country	:	US
Telephone Number	:	619-297-3131
Fax Number	:	619-297-0595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/21/2022

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