Healthcare Provider Details

I. General information

NPI: 1114988631
Provider Name (Legal Business Name): OLGA SALJOUGHY F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2006
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E HONOLULU ST
LINDSAY CA
93247-2526
US

IV. Provider business mailing address

115 E HONOLULU ST
LINDSAY CA
93247-2526
US

V. Phone/Fax

Practice location:
  • Phone: 559-562-2278
  • Fax: 559-562-3666
Mailing address:
  • Phone: 559-562-2278
  • Fax: 559-562-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP 10521
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: