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Anthony Holguin
NPI 1629578877 · on the registry since 2018
Practice
- Address
- 7400 Pacific Blvd Ste A&B
Walnut Park, CA 90255 - Phone
- (323) 538-9050
- Organisation at this address
- San Manuel Medical Clinic,Inc
San Manuel Medical Clinic Inc.
Sura Pediatric Specialist, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California