Provider Demographics
NPI:1306048624
Name:JUHN, OLIVIA T (MEDICAL DOCTOR)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:T
Last Name:JUHN
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Gender:F
Credentials:MEDICAL DOCTOR
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Mailing Address - Street 1:5 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2865
Mailing Address - Country:US
Mailing Address - Phone:916-782-2229
Mailing Address - Fax:916-797-9414
Practice Address - Street 1:5 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 250
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2865
Practice Address - Country:US
Practice Address - Phone:916-782-2229
Practice Address - Fax:916-797-9414
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2021-12-16
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Provider Licenses
StateLicense IDTaxonomies
CAA100002207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology