Healthcare Provider Details

I. General information

NPI: 1952257297
Provider Name (Legal Business Name): KIMBERLY KA YAN HOLMES PPS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY KA YAN SALDANA PPS, MS

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 LEMON AVE
TEMPLE CITY CA
91780-1305
US

IV. Provider business mailing address

9501 LEMON AVE
TEMPLE CITY CA
91780-1305
US

V. Phone/Fax

Practice location:
  • Phone: 626-548-5040
  • Fax:
Mailing address:
  • Phone: 626-548-5040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number240161178
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: