Provider Demographics
NPI:1144261603
Name:OLIAK, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:OLIAK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:255 W CENTRAL AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3373
Mailing Address - Country:US
Mailing Address - Phone:714-582-2530
Mailing Address - Fax:714-582-2537
Practice Address - Street 1:255 W CENTRAL AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3373
Practice Address - Country:US
Practice Address - Phone:714-582-2530
Practice Address - Fax:714-582-2537
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2014-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA62811208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA201836329OtherTAX IDENTIFICATION NUMBER