Provider Demographics
NPI:1962225508
Name:OLVERA GUERRERO, YAINYT (DC)
Entity type:Individual
Prefix:
First Name:YAINYT
Middle Name:
Last Name:OLVERA GUERRERO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 SAED ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768-2027
Mailing Address - Country:US
Mailing Address - Phone:909-282-9856
Mailing Address - Fax:
Practice Address - Street 1:221 E WALNUT ST STE 155
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1588
Practice Address - Country:US
Practice Address - Phone:626-408-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor