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Search › California › 101YA0400X

Derek Holland

NPI 1659836625 · on the registry since 2019 · sole proprietor

Practice

Address
2120 W Williams St
Long Beach, CA 90810
Phone
(562) 388-8118
Organisation at this address
American Indian Changing Spirits
American Indian Changing Spirits
American Indian Changing Spirits
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101Y00000X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California