Provider Demographics
NPI:1477718880
Name:CHARINA L. HOLMES, DC, INC.
Entity Type:Organization
Organization Name:CHARINA L. HOLMES, DC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:323-728-3101
Mailing Address - Street 1:257 W POMONA BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7120
Mailing Address - Country:US
Mailing Address - Phone:323-728-3101
Mailing Address - Fax:323-728-7284
Practice Address - Street 1:257 W POMONA BLVD
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7120
Practice Address - Country:US
Practice Address - Phone:323-728-3101
Practice Address - Fax:323-728-7284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAP722Medicare PIN