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Annette M Hollenbeck

  • Female

Medical Specialty

Professional ID

  • NPI: 1831366236
  • PECOS ID: 9032381413
  • Enrollment ID: I20111006000531
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2000

Hospital Service

  • Hospital CCN1: 050099
  • Business Name (LBN)1: San Antonio Regional Hospital

Medical Practices

  • Organization Name: Wellfleet Family Medical Inc A Medical Corporation
  • Group Practice ID assigned by PECOS: 0143547760
  • Number of Group Practice member: 0

Location

  • Address1: 600 N Mountain Ave
  • Address2: Suite 100
  • City: Upland
  • State: California
  • Zip Code: 91786
  • Phone Number: (909)938-2681

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):