Provider Demographics
NPI:1194698043
Name:OLIVE TREE NURSING CORPORATION
Entity type:Organization
Organization Name:OLIVE TREE NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOHAN
Authorized Official - Middle Name:HAN
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-663-8836
Mailing Address - Street 1:1208 CORTE MENDI
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-3547
Mailing Address - Country:US
Mailing Address - Phone:213-663-8836
Mailing Address - Fax:
Practice Address - Street 1:1208 CORTE MENDI
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-3547
Practice Address - Country:US
Practice Address - Phone:213-663-8836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty