Holly Feneht

Individual provider Active NPI Medical Art Specialist/Technologist · Saugus, CA

NPI 1700286804 · NPPES record last updated Aug 26, 2014

Key facts

NPI
1700286804
Entity type
Individual (NPI type 1)
Primary specialty
Medical Art Specialist/Technologist 246ZA2600X
License
0569 (CA)
Practice address
21826 Grovepark Dr
Saugus, CA 91350-1616
Phone
(818) 268-6343
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0569CAMDMedical Art Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique for You Art, Medical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist 246ZA2600X 0569 CA Yes

Addresses

Primary practice location

21826 Grovepark Dr
Saugus, CA 91350-1616

Mailing address

21826 Grovepark Dr
Saugus, CA 91350-1616
Phone (818) 268-6343

Other providers in Saugus, CA

All providers in Saugus, CA · Medical Art Specialist/Technologist in California

Sources for this page

Verify at the official NPI Registry.