| Hickory California Pc | |
|
19929 Greenley Rd Sonora CA 95370-5996 | |
| (814) 499-3009 | |
| Not Available |
| Full Name | Hickory California Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 19929 Greenley Rd, Sonora, California |
| Authorized Official Name and Position | Daniel Olivero (OWNER) |
| Authorized Official Contact | 8144993009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory California Pc 15 America Ave Unit 103 Lakewood NJ 08701 Ph: (814) 499-3009 | Hickory California Pc 19929 Greenley Rd Sonora CA 95370-5996 Ph: (814) 499-3009 |
| NPI Number | 1194608869 |
|---|---|
| Provider Enumeration Date | 07/29/2025 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194608869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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