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Contact Information

SCOTT M BOLES, MD
8745 AERO DRIVE
SUITE 200
SAN DIEGO, CA92123-1774
 Phone: 858-565-0950
 Fax: 858-244-1100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for SCOTT M BOLES · (Male)

NPI # 1356317747
Status Active
Credentials MD
Entity Individual
Enumeration date 02/24/2006
Last updated 10/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G85063
  • CA Medicaid GR0083810
  • CA Medicaid GR0083811
  • CA Medicaid GR0083812
  • CA Medicaid GR0083813
  • CA Medicaid GR0083815
  • CA Medicaid GR0083816
  • CA Medicaid GR0083817
  • CA Medicaid ZZZ75341Z
Hospital affiliation(s)
  • SHARP CHULA VISTA MEDICAL CENTER - (Acute Care)
    751 MEDICAL CENTER COURT
    CHULA VISTA, CA 91911
  • SHARP CORONADO HOSPITAL AND HLTHCR CTR - (Acute Care)
    250 PROSPECT PLACE
    CORONADO, CA 92118
  • SHARP MEMORIAL HOSPITAL - (Acute Care)
    7901 FROST ST
    SAN DIEGO, CA 92123
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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