Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | A43970 | CA |
N | 207RA0401X | Internist - Addiction Medicine | A43970 | CA |
NPI | 1548462567 |
---|---|
Provider Name | Dr. Aury Lor Holtzman |
First Address | Midway City, CA 92655-0308 |
Second Address | Huntington Beach, CA 92648-5154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/07/2007 |