Provider Demographics
NPI:1396821286
Name:DAVID A OLIAK, M.D. INC
Entity Type:Organization
Organization Name:DAVID A OLIAK, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-582-2530
Mailing Address - Street 1:255 W CENTRAL AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3373
Mailing Address - Country:US
Mailing Address - Phone:714-582-2530
Mailing Address - Fax:714-582-2537
Practice Address - Street 1:255 W CENTRAL AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3373
Practice Address - Country:US
Practice Address - Phone:714-582-2530
Practice Address - Fax:714-582-2537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62811208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty