Healthcare Provider Details

I. General information

NPI: 1659545531
Provider Name (Legal Business Name): BARBARA ANN HOLSHOUSER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST MRI B623
LOMA LINDA CA
92354-2804
US

IV. Provider business mailing address

12282 SINGING WOOD DR
SANTA ANA CA
92705-3326
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4800
  • Fax: 909-558-4149
Mailing address:
  • Phone: 714-389-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: