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Individual

DR. JOHN B HOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-2139
Mailing address
4100 GUARDIAN ST, SUITE 205, SIMI VALLEY, CA 93063-6717
(805) 577-2147

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G56141
CA
2085N0904X
Nuclear Radiology Physician
G56141
CA
2085R0202X
Diagnostic Radiology Physician
G56141
CA
2085R0204X
Vascular & Interventional Radiology Physician
G56141
CA
2085U0001X
Diagnostic Ultrasound Physician
Primary
G56141
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G561410
CA
Enumeration date
07/31/2006
Last updated
07/12/2007
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