Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 53469 | CA |
N | 207V00000X | Obstetrician & Gynecologist | C53469 | CA |
N | 207VG0400X | Gynecologist | 220554 | NY |
N | 207VG0400X | Gynecologist | 53469 | CA |
N | 207VX0000X | Obstetrician | 220554 | NY |
N | 207VX0000X | Obstetrician | 53469 | CA |
NPI | 1447232210 |
---|---|
Provider Name | Holly Beeman |
First Address | Los Altos, CA 94022-1408 |
Second Address | Mountain View, CA 94040-2833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 31/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0M2004 | HEALTH NET (01) | NY |
2099729 | UNITED HEALTHCARE (01) | NY |
H35008 | (02) | NY |
P2532932 | OXFORD HEALTH PLANS (01) | NY |