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NPI Code Detail

MEDICARE: MARIAN HOLLAND, MD INC

MEDICARE: MARIAN HOLLAND, MD INC
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
1261Q00000XClinic/Center100523CA

General Provider Information

NPI Number : 1790027530
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIAN HOLLAND, MD INC
Provider Business Mailing Address
First Line : 2262 CARMEL VALLEY RD STE F
Second Line :
City : DEL MAR
State : CA
Zip : 92014-3751
Country : US
Telephone Number : 858-652-8749
Fax Number :
Provider Business Practice Location Address
First Line : 2262 CARMEL VALLEY RD STE F
Second Line :
City : DEL MAR
State : CA
Zip : 92014-3751
Country : US
Telephone Number : 858-652-8749
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARIAN HOLLAND
Credential : MD
Telephone Number : 858-652-8749
Provider Enumeration Date : 03/20/2013
Last Update Date : 03/20/2013

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Directions to “MARIAN HOLLAND, MD INC ” Practice Location

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