Provider Demographics
NPI:1144802810
Name:BETTER OPTIONS BREAST CARE
Entity Type:Organization
Organization Name:BETTER OPTIONS BREAST CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOLMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-539-1985
Mailing Address - Street 1:5670 WILSHIRE BLVD STE 1740
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-5656
Mailing Address - Country:US
Mailing Address - Phone:818-539-1985
Mailing Address - Fax:
Practice Address - Street 1:1505 WILSON TER STE 150
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4076
Practice Address - Country:US
Practice Address - Phone:818-539-1985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty