Individual
CHARLES M. HOLZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 LAKEWOOD BLVD, DOWNEY, CA 90240-4020
(562) 862-2384
(562) 231-1904
Mailing address
10000 LAKEWOOD BLVD, DOWNEY, CA 90240-4020
(562) 862-2384
(562) 231-1904
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G45314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G453140
BLUE SHIELD ID #
—
05
—
00G453140
—
CA
01
—
045262
HEALTH NET ID #
—
01
—
110060915
RAILROAD
—
01
—
P00361831
RAILROAD
—
Enumeration date
06/01/2006
Last updated
03/19/2015
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