DR. LISA CAROL HOLLOMAN (NPI# 1831271964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831271964 |
| Entity Type | Individual |
| Full Name | DR. LISA CAROL HOLLOMAN |
| Other Name | DR. LISA CAROL HOLLOMAN |
| Credential | PHARM.D., BCPP |
| Practice Address |
11370 Wilshire Boulevard Building 206 Room 230 Los Angeles CA 90073 |
| Mailing Address |
9009 Lloyd Pl West Hollywood CA 90069-5504 |
| Practice Telephone | 3104783711 |
| Practice Fax Number | 3102684801 |
| Mailing Telephone | 3108591288 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
496202 | CA | Pharmacy Service Providers |
| Street Address |
11370 WILSHIRE BOULEVARD BUILDING 206 ROOM 230 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1508310996 | Jennifer Maravola | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 | 2016-08-15 |
| 1861859480 | Michael Fisher | Student in an Organized Health Care Education/Training Program | 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 | 2016-01-27 |
| 1629453295 | Christopher Denzel Lewis | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 | 2015-07-24 |
| 1689089179 | Rachel Stannus | Social Worker | 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 | 2014-06-24 |
| 1215355433 | Michael Francis Zito | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 | 2014-04-03 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1134447733 | Stuart Thomas Yee | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 | 2010-05-07 |
| 1306177654 | Pete Petriashvili | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 | 2010-01-27 |
| Find all providers in zip 90073 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316009830 | Michael Francis Pondrom | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2006-12-14 |
| 1386628394 | Gregory K Kimura | Pharmacist | 765 W College St, Los Angeles, CA 90012-1181 | 2005-12-02 |
| 1417948423 | Mary A Gutierrez | Pharmacist | University of Southern California Sch of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089-0001 | 2005-10-31 |
| 1457345662 | Michael Wincor | Pharmacist | 2146 Lyric Ave, Los Angeles, CA 90027-4754 | 2005-09-01 |
| 1508863812 | Julie Ann Dopheide | Pharmacist | Usc School of Pharmacy, 1985 Zonal Avenue, Los Angeles, CA 90089-0001 | 2005-06-30 |
| 1932646502 | Line Ornella Fassusiankam | Pharmacist | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2017-01-20 |
| 1396112249 | Lily Lu | Pharmacist | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2015-08-26 |
| 1316314362 | Kimberly Appleby | Pharmacist | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2015-08-25 |
| 1275934242 | Michelle Xue Ding | Pharmacist | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2014-09-10 |
| 1831411859 | Bosun Chung | Pharmacist | 11301 Wilshire Blvd, Building 500, Los Angeles, CA 90073-1003 | 2010-02-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90073 |
Please comment or provide details below to improve the information on DR. LISA CAROL HOLLOMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.