SearchCalifornia106H00000X

Olivia Ishak

NPI 1588069165 · on the registry since 2014 · sole proprietor

Practice

Address
1350 3rd St
La Verne, CA 91750
Phone
(626) 319-0564
Organisation at this address
Haynes Family Of Programs
David & Margaret Home, Inc.
David And Margaret Home, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Additional practice sites

  • 1126 W Foothill Blvd Ste 150, Upland, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California