Provider Demographics
NPI:1487914248
Name:HOLLAND, LINDA (DC)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 JASMINE AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034
Mailing Address - Country:US
Mailing Address - Phone:805-944-0212
Mailing Address - Fax:805-944-0212
Practice Address - Street 1:3030 W TEMPLE ST
Practice Address - Street 2:SUITE 106
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-4533
Practice Address - Country:US
Practice Address - Phone:805-944-0212
Practice Address - Fax:805-944-0212
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15699111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor