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Contact Information

JEFFREY HOLTER, PA-C
10862 CALLE VERDE # S93
LA MESA, CA91941
 Phone: 619-660-1822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEFFREY HOLTER · (Male)

NPI Number 1902376023
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/01/2018
Last updated 10/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA56316
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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