Individual
DR. NICHOLAS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5005
Mailing address
10790 RANCHO BERNARDO RD APT 340, SAN DIEGO, CA 92127-5705
(858) 824-5005
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A107640
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A107640
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2007
Last updated
07/10/2019
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