Organization
HOLT MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHRAB SALAMATIPOUR MD (OWNER)
(909) 603-9000
Entity
Organization
Contact information
Practice address
5153 HOLT BLVD STE B1, MONTCLAIR, CA 91763-4820
(909) 603-9000
(909) 603-9008
Mailing address
5153 HOLT BLVD STE B1, MONTCLAIR, CA 91763-4837
(909) 603-9000
(909) 603-9008
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A63781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101080
—
CA
Enumeration date
10/06/2006
Last updated
02/22/2016
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