Healthcare Provider Details

I. General information

NPI: 1932155298
Provider Name (Legal Business Name): NORRIS HOLLIE SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: NORRIS HOLLIE M.D.

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 ALMADEN EXPY STE 20
SAN JOSE CA
95118-1557
US

IV. Provider business mailing address

3315 ALMADEN EXPY STE 20
SAN JOSE CA
95118-1557
US

V. Phone/Fax

Practice location:
  • Phone: 408-264-6644
  • Fax:
Mailing address:
  • Phone: 408-264-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA38157
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberA38157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: