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NPI Code Detail

MEDICARE: CHRISTOPHER HOLMAN

MEDICARE:   CHRISTOPHER  HOLMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistAMFT147524CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1578268405
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER HOLMAN
Provider Business Mailing Address
First Line : 4789 W AVENUE J1
Second Line :
City : LANCASTER
State : CA
Zip : 93536-7192
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 43520 DIVISION ST
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4089
Country : US
Telephone Number : 661-266-1210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2023
Last Update Date : 03/18/2026

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Directions to “ CHRISTOPHER HOLMAN ” Practice Location

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