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Individual

LOUIS I. HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1520 SAN PABLO ST, SUITE 4300, LOS ANGELES, CA 90033-5310
(323) 442-6878
(323) 442-5956
Mailing address
1520 SAN PABLO ST, SUITE 4300, LOS ANGELES, CA 90033-5310
(323) 442-6878
(323) 442-5956

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
PA10462
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00PA104620
BLUE SHIELD PROV. NUMBER
CA
05
00PA104620
CA
Enumeration date
07/11/2006
Last updated
02/07/2008
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