Healthcare Provider Details

I. General information

NPI: 1356256291
Provider Name (Legal Business Name): MARIA BRENDA HOLGADO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9608 VAN NUYS BLVD STE 104
PANORAMA CITY CA
91402-1042
US

IV. Provider business mailing address

8060 ARTESIA BLVD
BUENA PARK CA
90621-2512
US

V. Phone/Fax

Practice location:
  • Phone: 818-830-6888
  • Fax:
Mailing address:
  • Phone: 714-746-2871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95026987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: