Organization
R E H MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH E HOLMES M.D. (PRESIDENT)
(858) 229-0227
Entity
Organization
Contact information
Practice address
402 W BROADWAY, SUITE 1270, SAN DIEGO, CA 92101-3542
(858) 229-0227
Mailing address
402 W BROADWAY, SUITE 1270, SAN DIEGO, CA 92101-3542
(858) 229-0227
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G24863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104899723
—
CA
Enumeration date
11/01/2011
Last updated
11/01/2011
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