| Doctor Name: | LINDA OLSON SANFORD |
| NPI Number: | 1336419373 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 313598 |
| Business Practice Address: | 1309 S Mission Rd Suite B Fallbrook, CA - 920284167 |
| Business Phone Number: | 7604513500 |
| Business Fax Number: | 7604513504 |
| Mailing Address: | 32100 Sedco Heights Dr, WILDOMAR |
| State: | CA |
| Postal Code: | 925958203 |
| Phone Number: | 9512527816 |
| Fax Number: | 9514714034 |
| NPI Enumeration Date: | 01/06/2012 |
| NPI Last Update Date: | 01/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 313598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |