Individual
JOHNELL HOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2232 E MAPLE AVE, EL SEGUNDO, CA 90245-6507
(310) 375-2705
Mailing address
6220 CANTERBURY DR APT 208, CULVER CITY, CA 90230-7917
(213) 709-3345
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95150874
CA
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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