Provider Demographics
NPI:1659718583
Name:OLIVIERI CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:OLIVIERI CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:OLIVIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-760-5437
Mailing Address - Street 1:250 NEWPORT CENTER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7515
Mailing Address - Country:US
Mailing Address - Phone:949-760-5437
Mailing Address - Fax:949-760-5467
Practice Address - Street 1:250 NEWPORT CENTER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7515
Practice Address - Country:US
Practice Address - Phone:949-760-5437
Practice Address - Fax:949-760-5467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-02
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty