Individual
DR. PAUL HOLTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
LAC USC MEDICAL CENTER, 1200 N. STATE SE. ROOM C5E100, LOS ANGELES, CA 90033
(323) 409-6645
(323) 441-8250
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G044895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G448950
BLUE SHIELD
CA
05
—
00G448950
—
CA
01
—
00G448950197
CAL OPTIMA
CA
01
—
06E2774
GROUP CHAMPUS
CA
01
—
1356390009
GROUP NPI
CA
01
—
1902846306
GROUP NPI
CA
01
—
440000831
RAILROAD MEDICARE
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID PIN
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W11675
GROUP MEDICARE PIN
CA
01
—
W18762
GROUP MEDICARE
CA
01
—
ZZZ50018Z
GROUP BLUE SHIELD
CA
Enumeration date
08/05/2006
Last updated
07/21/2022
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