Healthcare Provider Details

I. General information

NPI: 1790689032
Provider Name (Legal Business Name): KRISTIN OLAH M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27403 YNEZ RD STE 110
TEMECULA CA
92591-4615
US

IV. Provider business mailing address

31915 RANCHO CALIFORNIA RD STE 200-165
TEMECULA CA
92591-5132
US

V. Phone/Fax

Practice location:
  • Phone: 951-387-5377
  • Fax:
Mailing address:
  • Phone: 951-387-5377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTIN OLAH
Title or Position: PRESIDENT
Credential: MD
Phone: 951-387-5377