| Doctor Name: | THOMAS EDWARD OLIVEIRA |
| NPI Number: | 1124291828 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A7032 |
| Business Practice Address: | 506 W Graham Ave Suite 107 Lake Elsinore, CA - 925303666 |
| Business Phone Number: | 9514715116 |
| Business Fax Number: | |
| Mailing Address: | 506 W Graham Ave, Suite 107 LAKE ELSINORE |
| State: | CA |
| Postal Code: | 925303666 |
| Phone Number: | 9514715116 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A7032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |