Provider Demographics
NPI:1285619130
Name:LEON, HOLLANDA ARTEMISA (MD)
Entity type:Individual
Prefix:
First Name:HOLLANDA
Middle Name:ARTEMISA
Last Name:LEON
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 1:4141 STATE ST
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1814
Mailing Address - Country:US
Mailing Address - Phone:805-681-7144
Mailing Address - Fax:805-683-6108
Practice Address - Street 1:4141 STATE ST
Practice Address - Street 2:SUITE A-1
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1814
Practice Address - Country:US
Practice Address - Phone:805-681-7144
Practice Address - Fax:805-683-6108
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine