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Contact Information

BOSTON MEDICAL GROUP CALIFORNIA LLC
207 S SANTA ANITA AVE
P25A
SAN GABRIEL, CA91776
 Phone: 615-562-4578
 Fax: 423-949-3992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for BOSTON MEDICAL GROUP CALIFORNIA LLC · (Female)

NPI Number 1851799001
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2014
Last updated 12/19/2014 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G9455
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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