| Oliverio Medical Group | |
|
330 W Ramsey St Banning CA 92220-4823 | |
| (951) 849-1950 | |
| (951) 849-0080 |
| Full Name | Oliverio Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 330 W Ramsey St, Banning, California |
| Authorized Official Name and Position | Joy M Oliverio (ADMINISTRATOR) |
| Authorized Official Contact | 9518491950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliverio Medical Group 330 W Ramsey St Banning CA 92220-4823 Ph: (951) 849-1950 | Oliverio Medical Group 330 W Ramsey St Banning CA 92220-4823 Ph: (951) 849-1950 |
| NPI Number | 1578618088 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 09/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578618088 | NPI | - | NPPES |
| GR0057980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00A450420 (California) | Primary |
| 207R00000X | Internal Medicine | 00A332270 (California) | Secondary |
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