| Kenneth Earl Holliman, MD | |
|
23600 Telo Ave Ste 250, Torrance, CA 90505-4037 | |
| (310) 375-8446 | |
| (310) 602-5053 |
| Full Name | Kenneth Earl Holliman |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 49 Years |
| Location | 23600 Telo Ave Ste 250, Torrance, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861445645 | NPI | - | NPPES |
| 1568604965 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | C39719 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Torrance Memorial Medical Center | Torrance, CA | Hospital |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | Hospital |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
| Entity Name | Kennethehollimaninc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568604965 PECOS PAC ID: 2668523135 Enrollment ID: O20090623000333 |
| Entity Name | Tmogi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942503958 PECOS PAC ID: 6901183342 Enrollment ID: O20170511002274 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Earl Holliman, MD Po Box 3129, Torrance, CA 90510-3129 Ph: (310) 792-3914 | Kenneth Earl Holliman, MD 23600 Telo Ave Ste 250, Torrance, CA 90505-4037 Ph: (310) 375-8446 |
Dr. Evelyn Denebeim, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20911 Earl St Ste 440, Torrance, CA 90503 Phone: 310-419-8585 | |
Kay E Elledge, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3701 Skypark Dr, Suite 150, Torrance, CA 90505 Phone: 310-378-8450 | |
Tiffany Anne Etterman, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20911 Earl St Ste 440, Torrance, CA 90503 Phone: 310-793-2566 | |
Dr. Tajnoos Yazdany, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3868 | |
Megha Rajesh Patel, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4201 Torrance Blvd Ste 600, Torrance, CA 90503 Phone: 310-316-4317 | |
Shelly Nitz, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4101 Torrance Blvd, Torrance, CA 90503 Phone: 310-303-5630 | |
Deepjot K Singh, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3400 Lomita Blvd, Suite #500, Torrance, CA 90505 Phone: 310-373-7900 Fax: 310-373-7940 |