Healthcare Provider Details

I. General information

NPI: 1598001133
Provider Name (Legal Business Name): LINDSEY DIANE FREHNER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY DAINE OLSON PA

II. Dates (important events)

Enumeration Date: 01/01/2013
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 VALLEY CENTRE DR # S99
SAN DIEGO CA
92130-3318
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD # 4S-205
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 858-764-3280
  • Fax:
Mailing address:
  • Phone: 858-605-7171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA 22773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: