MRS. HOLLY DIAHN PRENTICE P.A.C. NPI 1588606404

NPI Information

  • NPI: 1588606404
  • Provider Name: MRS. HOLLY DIAHN PRENTICE, P.A.C.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 440 W FOOTHILL BLVD
    GLENDORA, CA
    ZIP 91741
  • Phone: (626) 963-9402

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NPI Details

MRS. Holly Diahn Prentice, P.A.C. is a medical physician assistant in Glendora, CA. MRS. Holly Diahn Prentice, P.A.C. NPI is 1588606404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

440 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741-361
Phone: (626) 963-9402
Fax: (626) 914-5316

The NPI 1588606404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical15115CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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