Healthcare Provider Details

I. General information

NPI: 1245158872
Provider Name (Legal Business Name): OLGA B AMIEL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41210 11TH ST W STE C
PALMDALE CA
93551-1447
US

IV. Provider business mailing address

26841 TRESTLES DR
SANTA CLARITA CA
91351-2824
US

V. Phone/Fax

Practice location:
  • Phone: 661-947-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038180
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: