MR. Larry Bernard Boglin
NPI #1063644763 in Compton, California
Provider Information
- NPI Number
- 1063644763
- Entity Type
- Individual
- Name
- MR. Larry Bernard Boglin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 13, 2009
- Last Updated
- Aug 13, 2009
Practice Location
- Address
- 369 W COMPTON BLVD
- City
- Compton
- State
- California
- ZIP Code
- 90220-3110
- Phone
- (310) 603-6555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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