Kenneth E Holliman (NPI# 1861445645, PAC ID# 3274427703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1861445645 |
| PAC ID by PECOS | 3274427703 |
| Professional Enrollment ID | I20040213000307 |
| Full Name | Kenneth E Holliman |
| Address |
23600 Telo Ave Suite 250 Torrance CA 90505-4037 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1976 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 20911 Earl St, Suite 440, Torrance, CA 90503-4355 | 3104198585 | PROVIDENCE MEDICAL INSTITUTE |
| 23600 Telo Ave, Suite 250, Torrance, CA 90505-4037 |
| Street Address |
23600 TELO AVE SUITE 250 |
| City | TORRANCE |
| State | CA |
| Zip | 90505-4037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Marie Brown | Nurse Practitioner | Micha Rettenmaier Brown and Lacey A California Partnership | 23600 Telo Ave, Suite 250, Torrance, CA 90505-4037 |
| Timothy F Lesser | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Kambiz Dardashti | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Donald B Striplin | Orthopedic Surgery | 23600 Telo Ave, Suite 180, Torrance, CA 90505-4039 | |
| Shelby Morrisroe | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Farhad B Nowzari | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Adam G Mogil | Physician Assistant | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Abbey Beth Gaske | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Juan C Frisancho | Orthopedic Surgery | 23600 Telo Ave, Suite 180, Torrance, CA 90505-4039 | |
| Morgan Lucas Taylor | Gynecological Oncology | Micha Rettenmaier Brown and Lacey A California Partnership | 23600 Telo Ave, Suite 250, Torrance, CA 90505-4037 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Tamayo | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| Linh H Tu | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| David A Bray Jr. | Otolaryngology | 3445 Pacific Coast Hwy, Suite 320, Torrance, CA 90505-0660 | |
| Nhat H Tran | Physical Medicine and Rehabilitation | 3655 W Lomita Blvd, Suite 421, Torrance, CA 90505-1900 | |
| Tai Hon Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Thomas S Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Tatyana S Sarkisova | Family Medicine | 3655 Lomita Blvd, Suite 108, Torrance, CA 90505-1902 | |
| Gladys E Palomeno | Endocrinology | 3655 Lomita Blvd, Suite 100, Torrance, CA 90505-1905 | |
| Akihiro Mizuta | Family Medicine | 3655 Lomita Blvd, Suite 115, Torrance, CA 90505-1906 | |
| Pooya Lashkari | Podiatry | 3655 Lomita Blvd, Suite 120, Torrance, CA 90505-1907 | |
| Find all physicians in zip 90505 | |||
| City | TORRANCE |
| Zip Code | 90505 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | TORRANCE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kenneth E Holliman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.