Organization
HOLMES & LARSON A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A. GORDO M.D. (PRESIDENT)
(661) 942-6565
Entity
Organization
Contact information
Practice address
1658 W AVENUE J, LANCASTER, CA 93534-2814
(661) 942-6565
Mailing address
1658 W AVENUE J, LANCASTER, CA 93534-2814
(661) 942-6565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CA
Other
Enumeration date
06/29/2007
Last updated
02/14/2011
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