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NPI Code Detail

MEDICARE: MARK EDWARD HOLMES

MEDICARE: MARK EDWARD HOLMES
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 TherapistAMFT156181CA

General Provider Information

NPI Number : 1275410136
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK EDWARD HOLMES
Provider Business Mailing Address
First Line : 23521 PASEO DE VALENCIA STE B5
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3125
Country : US
Telephone Number : 714-532-9295
Fax Number :
Provider Business Practice Location Address
First Line : 23521 PASEO DE VALENCIA STE B5
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3125
Country : US
Telephone Number : 714-532-9295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2025
Last Update Date : 06/08/2026

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Directions to “ MARK EDWARD HOLMES ” Practice Location

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