Individual provider Active NPI

Holly Lucille, N.D.

  • Family Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1013112556
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ND-70 Issued in CA
Practice address
7235 Santa Monica Blvd
West Hollywood, CA 90046-6724
Phone
(323) 658-9151
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ND-70 CA Primary

Addresses

Primary practice location

7235 Santa Monica Blvd
West Hollywood, CA 90046-6724

Mailing address

900 N Croft Ave Apt 4
Los Angeles, CA 90069-4298
Phone (310) 709-6519

Other practice location 1

6399 Wilshire Blvd
Suite 401
Los Angeles, CA 90048-5703
Phone (323) 658-9151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND-70CAMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013112556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N CROFT AVE APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900694298",
            "telephone_number": "310-709-6519",
            "fax_number": "815-425-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466724",
            "telephone_number": "323-658-9151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6399 Wilshire Blvd",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485703",
            "country_code": "US",
            "telephone_number": "323-658-9151",
            "fax_number": "815-425-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCILLE",
        "first_name": "HOLLY",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "ND-70",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.