Organization
HOLLISTER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA M PEREZ (OFFICE MANAGER)
(831) 630-1477
Entity
Organization
Contact information
Practice address
930 SUNNYSLOPE RD, SUITE E-2, HOLLISTER, CA 95023-5615
(831) 630-1477
(831) 630-1531
Mailing address
930 SUNNYSLOPE RD, SUITE E-2, HOLLISTER, CA 95023-5615
(831) 630-1477
(831) 630-1531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20AX7593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX75930
—
CA
Enumeration date
04/23/2008
Last updated
04/23/2008
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