| Doctor Name: | MR. RICHARD A OLIVA |
| NPI Number: | 1952599938 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A109221 |
| Business Practice Address: | 1070 S Santa Fe Ave Ste 9 Vista, CA - 920847010 |
| Business Phone Number: | 7609417050 |
| Business Fax Number: | 7609417142 |
| Mailing Address: | 1408 California St Apt 405, SAN FRANCISCO |
| State: | CA |
| Postal Code: | 941094726 |
| Phone Number: | 7604731812 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2007 |
| NPI Last Update Date: | 07/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A109221 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |