Provider Demographics
NPI:1194301648
Name:HOLLAND, MIKAELA MARGARET (MD)
Entity type:Individual
Prefix:
First Name:MIKAELA
Middle Name:MARGARET
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 WOODLAKE AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1470
Mailing Address - Country:US
Mailing Address - Phone:818-340-3822
Mailing Address - Fax:818-340-8039
Practice Address - Street 1:7320 WOODLAKE AVE STE 270
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1470
Practice Address - Country:US
Practice Address - Phone:818-340-3822
Practice Address - Fax:818-340-8039
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA196036208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics