Healthcare Provider Details

I. General information

NPI: 1306867460
Provider Name (Legal Business Name): CHRISTOPHER HOLDEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 05/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 E KATELLA AVE STE B
ORANGE CA
92867-4839
US

IV. Provider business mailing address

438 E KATELLA AVE STE B
ORANGE CA
92867-4839
US

V. Phone/Fax

Practice location:
  • Phone: 714-744-5000
  • Fax: 714-744-5985
Mailing address:
  • Phone: 714-744-5000
  • Fax: 714-744-5985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG75635
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: