Individual provider · Type 1 NPI
Evelina A. Olson
Adult Medicine Physician · Hercules, CA
NPI number
1417615840
Active
Practice location
1620 Swallow Way
Hercules, CA 94547-1648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 08426593 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1417615840
Evelina A. Olson's National Provider Identifier is 1417615840, issued on Dec 2, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Hercules, CA. The record was last updated on Dec 2, 2021.