Provider Demographics
NPI:1174844815
Name:OLSON, ERIK JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:JOSEPH
Last Name:OLSON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:34800 BOB WILSON DR.
Mailing Address - Street 2:BLDG 3, 4TH FLOOR
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-3400
Mailing Address - Country:US
Mailing Address - Phone:619-532-7575
Mailing Address - Fax:619-532-7673
Practice Address - Street 1:34800 BOB WILSON DR.
Practice Address - Street 2:BLDG 3, 4TH FLOOR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-532-7575
Practice Address - Fax:619-532-7673
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4603292086S0102X
CAA1173852086S0102X, 2086S0127X
CAA117835208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery