Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G76511 | CA |
NPI | 1003835653 |
---|---|
Provider Name | Dr. Michelle M Oliveira |
First Address | Los Altos, CA 94022-1408 |
Second Address | Dublin, CA 94568-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 28/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G09784 | (02) | CA |