Provider Demographics
NPI:1184784035
Name:HOLLBLAD-FADIMAN, KATERINA YVONNE (MD)
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:YVONNE
Last Name:HOLLBLAD-FADIMAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:310 EL GRANADA BLVD
Mailing Address - Street 2:
Mailing Address - City:HALF MOON BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94019-4901
Mailing Address - Country:US
Mailing Address - Phone:415-206-8998
Mailing Address - Fax:415-206-6073
Practice Address - Street 1:1001 POTRERO AVE BLDG 9
Practice Address - Street 2:OCCUPATIONAL HEALTH SERVICE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8998
Practice Address - Fax:415-206-6073
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2021-12-14
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Provider Licenses
StateLicense IDTaxonomies
CAA0544532083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine