Healthcare Provider Details

I. General information

NPI: 1578487526
Provider Name (Legal Business Name): HOLLISTER TAXI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 RUSTIC ST APT A
HOLLISTER CA
95023-3046
US

IV. Provider business mailing address

190 RUSTIC ST APT A
HOLLISTER CA
95023-3046
US

V. Phone/Fax

Practice location:
  • Phone: 831-637-3378
  • Fax:
Mailing address:
  • Phone: 831-637-3378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ARRIZON
Title or Position: OWNER
Credential:
Phone: 831-637-3378