Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olivia Tandadjaja

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124811849

Olivia Tandadjaja is a Student in an Organized Health Care Education/Training Program in Moreno Valley, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (951) 486-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124811849
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025
Mailing address26520 Cactus Ave, Moreno Valley, CA 92555-3927

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