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NPI Code Detail

MEDICARE: WALTER R OLIWA

MEDICARE: WALTER R OLIWA
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
1106H00000XMarriage & Family TherapistMFT27409CA

General Provider Information

NPI Number : 1508906967
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER R OLIWA
Provider Business Mailing Address
First Line : 8511 GOLDEN AVE
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-2615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17701 SAN PASQUAL VALLEY RD
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-5301
Country : US
Telephone Number : 760-741-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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Directions to “ WALTER R OLIWA ” Practice Location

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