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Contact Information

TERRI L BOURGEOIS
1725 MAIN STREET
SANTA MONICA, CA90401
 Phone: 310-260-3583
 Fax: 310-395-7971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for TERRI L BOURGEOIS · (Female)

NPI # 1194908327
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2007
Last updated 12/11/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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