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Contact Information

BOXIDARA, INC.
38660 MEDICAL CENTER DR STE A150
C/O PALMDALE MED. CTR. WOUND CARE CLINIC
PALMDALE, CA93551-4385
 Phone: 818-709-8161
 Fax: 818-709-8160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BOXIDARA, INC.

NPI # 1811289317
LBN Legal business name BOXIDARA, INC.
Authorized official JOHN GAMBOL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2011
Last updated 06/20/2018 - About 8 years ago
Identifiers
CA License # G67090
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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