Judy L Bourget MD INC

NPI #1609181668 in Dana Point, California

Provider Information

NPI Number: 1609181668
Entity Type: Organization
Organization Name: Judy L Bourget MD INC
Primary Specialty: General Practice
Enumeration Date: Aug 16, 2010
Last Updated: Aug 16, 2010

Practice Location

Address: 34052 LA PLZ
Address 2: STE 104
City: Dana Point
State: California
ZIP Code: 92629-2587
Phone: (949) 429-8760

Authorized Official

Name: DR. JUDY L BOURGET, MD
Title: OWNER
Phone: (949) 429-8760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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