| Doctor Name: | LINDA S. OLSON |
| NPI Number: | 1033577986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 95003845 |
| Business Practice Address: | 1695 S San Jacinto Ave Suite #a San Jacinto, CA - 925835103 |
| Business Phone Number: | 9516651100 |
| Business Fax Number: | |
| Mailing Address: | 1695 S San Jacinto Ave, Suite #a SAN JACINTO |
| State: | CA |
| Postal Code: | 925835103 |
| Phone Number: | 9516651100 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2016 |
| NPI Last Update Date: | 02/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 95003845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |