Langston Tyler Holly MD

NPI 1063437192 - Neurological Surgery - 207T00000X

NPI Details
NPI 1063437192
Gender Male
Enumeration Date 07/12/2006
Last Updated 07/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
300 MEDICAL PLZ
#200
LOS ANGELES CA, 90095-0001, US
Phone (310) 825-5111
Fax
Business Location
5767 W CENTURY BLVD
# 400
LOS ANGELES CA, 90045-5631, US
Phone (310) 825-5111
Fax
Toxanomy
Taxonomy Code 207T00000X
License State California
License Number A62574
Remove 1063437192 NPI Number
 

According to our database, Langston Tyler Holly MD NPI is 1063437192, taxonomy code is 207T00000X and license number is A62574, license state is located at California. Langston Tyler Holly MD physically located at 300 Medical Plz, Los Angeles CA, 90095-0001. NPI Number Langston Tyler Holly MD has the Individual type.

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1063437192 NPI number is provided on an as is basis without warranty of any kind. 1063437192 is maintained by the National Plan & Provider Enumeration System. The contents of Langston Tyler Holly MD are for informational purposes only.