MEDICARE: DR. MARGARITA HOLSTEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0054164	CO
2	2084P0800X	Psychiatry Physician	227808	NY
3	2084P0800X	Psychiatry Physician	C163126	CA

General Provider Information

NPI Number	:	1699974485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARITA HOLSTEN M.D.

Provider Business Mailing Address
First Line	:	23 HIGHGATE CT
Second Line	:
City	:	KENSINGTON
State	:	CA
Zip	:	94707-1114
Country	:	US
Telephone Number	:	415-385-4040
Fax Number	:	720-808-0757

Provider Business Practice Location Address
First Line	:	2443 FILLMORE ST # 38015859
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1814
Country	:	US
Telephone Number	:	415-385-4040
Fax Number	:	720-808-0757

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	07/14/2020

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