Individual
MARK HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 529-6755
Mailing address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PTL13603
CA
Other
Enumeration date
05/24/2023
Last updated
04/14/2025
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