Individual provider · Type 1 NPI

Jacob Jeremiah Olivas

Rehabilitation Practitioner · Riverside, CA

NPI number 1750800579 Active

Practice location

1405 Spruce St, Suite A
Riverside, CA 92507-2410

Call (951) 715-5040 Map

Mailing address

3625 14th St
Riverside, CA 92501-3815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1750800579

Jacob Jeremiah Olivas's National Provider Identifier is 1750800579, issued on Sep 13, 2017. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Riverside, CA. The record was last updated on Mar 24, 2025.