Individual ProviderDenise OlivaCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850PECOS EnrollmentBased on the most recent information from CMS, provider Denise Oliva does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:16 AM.Profile DetailsProvider ID1053865170Provider TypeIndividualFull NameOliva, DeniseTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date8/5/2016Last Updated7/21/2022Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850Fax(661) 726-2854Mailing LocationMailing Address506 West Jackman Street, Lancaster, CA 93534Phone(661) 726-2850Fax(661) 726-2854Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCaliforniaProvider IdentifiersIDDescriptionIssuerID6758DescriptionMedicaidIssuerUnlistedCaliforniaID7420DescriptionMedicaidIssuerUnlistedCaliforniaID7068DescriptionMedicaidIssuerUnlistedCalifornia