IndividualActive
Jacqueline Holland
NPI 1003623943 · Student in an Organized Health Care Education/Training Program · Canoga Park, CA
Provider details
- NPI number
- 1003623943
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7038 Owensmouth Ave
Canoga Park, CA 91303-3198
Phone: (818) 347-8565
Street-level locationGet directions
Mailing address
22647 Ventura Blvd # 183
Woodland Hills, CA 91364-1416
Registry dates
- Enumerated
- 2024-12-13
- Last updated
- 2024-12-13
- Certified
- 2024-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.