Healthcare Provider Details

I. General information

NPI: 1205818465
Provider Name (Legal Business Name): JAMES WESTON HOLE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDREN'S PL FE16
MADERA CA
93636
US

IV. Provider business mailing address

9300 VALLEY CHILDREN'S PL SC05
MADERA CA
93636
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-6700
  • Fax: 559-353-6710
Mailing address:
  • Phone: 559-353-5714
  • Fax: 559-353-5708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number20A17508
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: