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MR. MARTIN H. OLIVARES MFT, PH.D

Psychoanalysis

Beverly Hills, California

Provider NPI: 1316977069

Provider Information:
MR. MARTIN H. OLIVARES MFT, PH.D
Gender: M
Sole Proprietor


Practice Location:
152 S LASKY DR SUITE 208 BEVERLY HILLS, CA 90212 US
Tel: 310-993-0557  Fax: 213-201-1392

Business Mailing Address:
118 N HAYWORTH AVE APT. #1 LOS ANGELES, CA 90048 US
Tel: 310-993-0557  Fax: 213-201-1392

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103TP0814XBehavioral Health & Social Service Providers
Psychologist
Psychoanalysis
CA38080
X106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA38080

Other Provider Identifiers:

IssuerNumberStateType
BLUESHIELD OF CALIFORNIA380800CA01
PACIFIC CARE550010006509CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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