Organization · Type 2 NPI

Lisa Olivo

Point of Service · Wilmington, CA

NPI number 1669652939 Active

Practice location

117 E Harry Bridges Blvd
Wilmington, CA 90744-5825

Fax (310) 549-9305

Mailing address

1009 Ashport St
Pomona, CA 91768-2323

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1669652939

Lisa Olivo's National Provider Identifier is 1669652939, issued on Nov 5, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Wilmington, CA. The record was last updated on Nov 5, 2007.