Search › California › 104100000X

Russell Olson

NPI 1093488421 · on the registry since 2021

Practice

Address
175 Omar Way
San Francisco, CA 94127
Phone
(415) 469-4734

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041S0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California