DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLGA LYSSANOVA

Active Sole Proprietor

Athletic Trainer · SAN DIEGO, CA

Registration Details

NPI Number
1457791451
Provider Type
Individual
Gender
Female
NPI Issued
Jul 5, 2013 (12.797735397288 yrs)
Last Updated
Jul 5, 2013
Sole Proprietor
Yes

Practice Information

Address
3666 KEARNY VILLA RD
SUITE #225
SAN DIEGO, CA, 921231951
Browse CA providers · Browse ZIP 92123
Phone
8585055480
Primary Specialty
Athletic Trainer
225500000X

Other Athletic Trainer Providers in SAN DIEGO, CA

Name Credential NPI
KATHERINE GRUBERT 1124577697
JESSICA LLAMAS 1821533985
PAMELA RENEA CRANE C-IAYT, MS 1023648201
MS. JULIE PITOIS MT 1578154787
DESIREE LYNNE RITTINGHAUS 1407564362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.