Miles Raymond Holland Ii, LCSW is a
Social Worker - Clinical based in Los Angeles, California. Miles Raymond Holland Ii is licensed to practice in California (license number LCSW122826) and his current practice location is
12021 Wilmington Ave Bldg 18, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(424) 454-5000.
NPI number for Miles Raymond Holland Ii is 1750839361 and his current mailing address is 1720 E 120th St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750839361.
Healthcare Provider's Profile
| Full Name | Miles Raymond Holland Ii |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 12021 Wilmington Ave Bldg 18, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750839361
- Provider Enumeration Date: 09/13/2016
- Last Update Date: 04/08/2025
Medical Identifiers
Medical identifiers for Miles Raymond Holland Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750839361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 78520 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 78520 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW122826 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miles Raymond Holland Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miles Raymond Holland Ii, LCSW
1720 E 120th St,
Los Angeles, CA 90059-3052
Ph: (310) 668-4272 | Miles Raymond Holland Ii, LCSW
12021 Wilmington Ave Bldg 18,
Los Angeles, CA 90059-3019
Ph: (424) 454-5000 |
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