Individual
MARTIN C HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
901 W ORANGETHORPE AVE, FULLERTON, CA 92832-2826
(714) 441-0411
(714) 441-1824
Mailing address
7439 LA PALMA AVE # 120, BUENA PARK, CA 90620-2655
(714) 441-0411
(714) 441-1824
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PA13479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13479
PA CALIFORNIA LICENSE
CA
Enumeration date
02/05/2009
Last updated
02/05/2009
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