Provider Demographics
NPI:1447462726
Name:HOLLAND, PAUL R (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:R
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:339 CHESHAM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2835
Mailing Address - Country:US
Mailing Address - Phone:650-766-9718
Mailing Address - Fax:
Practice Address - Street 1:2171 JUNIPERO SERRA BLVD
Practice Address - Street 2:STE 100
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-1906
Practice Address - Country:US
Practice Address - Phone:650-758-2171
Practice Address - Fax:650-994-0161
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2024-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA108512207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology