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Individual

MS. HOLLY MARIE SPANGGORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
24022 CALLE DE LA PLATA, SUITE 305, LAGUNA HILLS, CA 92653
(949) 588-2020
(949) 588-0336
Mailing address
24022 CALLE DE LA PLATA, SUITE 305, LAGUNA HILLS, CA 92653
(949) 588-2020
(949) 588-0336

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A77935
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A779350
CA
Enumeration date
09/02/2005
Last updated
06/19/2025
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