Provider Demographics
NPI:1285746073
Name:HOLDY, KALMAN EUGEN (MD)
Entity type:Individual
Prefix:DR
First Name:KALMAN
Middle Name:EUGEN
Last Name:HOLDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3268 GOVERNOR DR
Mailing Address - Street 2:SUITE #400
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-2902
Mailing Address - Country:US
Mailing Address - Phone:858-344-1846
Mailing Address - Fax:858-587-2192
Practice Address - Street 1:3268 GOVERNOR DR
Practice Address - Street 2:SUITE #400
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-2902
Practice Address - Country:US
Practice Address - Phone:858-344-1846
Practice Address - Fax:858-587-2192
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-02-12
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Provider Licenses
StateLicense IDTaxonomies
CAG026103207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G261030Medicaid
A42905Medicare UPIN
CA00G261030Medicaid