Provider Demographics
NPI:1831237718
Name:HOLLANDER, ERIC (LAC)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3710 ALABAMA ST
Mailing Address - Street 2:APT. 15
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3340
Mailing Address - Country:US
Mailing Address - Phone:619-817-6447
Mailing Address - Fax:858-495-0772
Practice Address - Street 1:7969 ENGINEER RD
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1920
Practice Address - Country:US
Practice Address - Phone:858-495-0771
Practice Address - Fax:858-495-0772
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 6281171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist