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Contact Information

MARK MANNING. HOLT, MD, A PROFESSIONAL CORP
72650 FRED WARING DR STE 204
PALM DESERT, CA92260
 Phone: 760-324-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARK MANNING. HOLT, MD, A PROFESSIONAL CORP

NPI Number 1154644334
LBN Legal business name MARK MANNING. HOLT, MD, A PROFESSIONAL CORP
Authorized official MARK HOLT - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2010
Last updated 08/15/2018 - About 8 years ago
Identifiers
CA License # C53118
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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