Basic Information
| Provider Information | |||||||||
| NPI: | 1962658682 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLDBROOK | ||||||||
| FirstName: | EVA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7601 HOSPITAL DR | ||||||||
| Address2: | HEALTHCARE FOR WOMEN | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958235408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166893433 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7601 HOSPITAL DR | ||||||||
| Address2: | HEALTHCARE CENTER FOR WOMEN | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958235408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166893433 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2008 | ||||||||
| LastUpdateDate: | 09/10/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | A121894 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.