Individual
DENNIS R HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1513 S. GRAND AVE, SUITE 400, LOS ANGELES, CA 90015-5324
(213) 742-5784
(213) 742-6055
Mailing address
5670 WILSHIRE BLVD, SUITE 1740, LOS ANGELES, CA 90036
(714) 522-2001
(714) 522-7503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A68940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A689400
BLUE SHIELD PIN
CA
05
—
00A689400
—
CA
01
—
020053128
MEDICARE RAILROAD
CA
Enumeration date
06/29/2006
Last updated
02/25/2016
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