Provider Demographics
NPI:1134249014
Name:CAPLIN, OLGA YERYOMINA (MD)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:YERYOMINA
Last Name:CAPLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1250 MORENA BLVD
Mailing Address - Street 2:NORTH CENTRAL MENTAL HEALTH CENTER
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110
Mailing Address - Country:US
Mailing Address - Phone:619-294-9217
Mailing Address - Fax:858-581-5788
Practice Address - Street 1:1250 MORENA BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110
Practice Address - Country:US
Practice Address - Phone:619-692-8750
Practice Address - Fax:619-692-8779
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA923582084P0800X
IL0361131822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry