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NPI Code Detail

MEDICARE: JESSICA NICHOLE HOLTZMAN

MEDICARE: JESSICA NICHOLE HOLTZMAN
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
1207R00000XInternal Medicine PhysicianA177031CA
2390200000XStudent in an Organized Health Care Education/Training Program
3207RC0000XCardiovascular Disease PhysicianA177031CA

General Provider Information

NPI Number : 1457811929
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA NICHOLE HOLTZMAN
Provider Business Mailing Address
First Line : 505 PARNASSUS AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94143-2204
Country : US
Telephone Number : 415-812-2877
Fax Number :
Provider Business Practice Location Address
First Line : 535 MISSION BAY BLVD S
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94143-2156
Country : US
Telephone Number : 415-353-2873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 05/26/2026

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Directions to “ JESSICA NICHOLE HOLTZMAN ” Practice Location

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