Organization
KENNETHEHOLLIMANINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EARL HOLLIMAN MD (PRESIDENT)
(310) 375-8446
Entity
Organization
Contact information
Practice address
23600 TELO AVE, SUITE 250, TORRANCE, CA 90505-4035
(310) 375-8446
(310) 602-5053
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568604965
—
CA
Enumeration date
03/31/2009
Last updated
02/14/2020
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