Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Holguin

Individual provider General Practice Physician · NPI 1962194324

Mark Holguin is a General Practice Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1680 E 120th St
Los Angeles, CA 90059-3026
Phone: (424) 529-6755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence PTL13603 (CA)

Record details

NPI number1962194324
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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