Steven Kenneth Holm, PA-C
Physician Assistant in Poway, CA. Individual provider (NPI-1).
NPI number1932257573
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1932257573
- Entity type
- Individual (NPI-1)
- Name
- Steven Kenneth Holm
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2007
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA13752 | CA | Yes |
Practice location
15611 Pomerado RdSuite 400
Poway, CA 92064-2437
Phone 858-613-8900
Mailing address
Po Box 28199San Diego, CA 92198-0199
Phone 858-613-8900
Other practice locations
1809 National Ave
San Diego, CA 92113-2113
San Diego, CA 92113-2113
Phone 619-515-2300 · Fax 619-515-2510
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