Healthcare Provider Details

I. General information

NPI: 1073322053
Provider Name (Legal Business Name): OLENA SVETLOV DNP, APRN, AGNP/CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5542 LAS VIRGENES RD UNIT 96
CALABASAS CA
91302-1000
US

IV. Provider business mailing address

5542 LAS VIRGENES RD UNIT 96
CALABASAS CA
91302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 818-635-2934
  • Fax:
Mailing address:
  • Phone: 818-635-2934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95005011
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95005011
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95005011
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number4292
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code364ST0500X
TaxonomyTransplantation Clinical Nurse Specialist
License Number4292
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number4292
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number4292
License Number StateCA
# 8
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number4292
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: