Individual
TIMOTHY OLE HOVLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2505 SAMARITAN DR STE 210, SAN JOSE, CA 95124-4008
(408) 358-8300
(408) 358-8301
Mailing address
2505 SAMARITAN DR STE 210, SAN JOSE, CA 95124-4008
(408) 358-8300
(408) 358-8301
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01378879
RAILROAD MEDICARE PTAN
CA
Enumeration date
08/13/2006
Last updated
09/21/2015
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