Most Relevant Information
Provider Data
| NPI Number: | 1003317306 |
| Provider Name: | RAFAEL ELIAS OLIVARES CHAYEB |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/22/2018 |
| Last Updated: | 09/12/2024 |
Provider Practice Location
480 ALTA RD
SAN DIEGO
CA
921790001
Practice Location Phone/Fax
| Phone: | 6196916947 |
| Fax: |
Provider Mailing Location
1260 MORENA BLVD STE 100
SAN DIEGO
CA
921103850
Provider Mailing Phone/Fax
| Phone: | 6193980355 |
| Fax: | 6193980350 |