DR. Michael Paul Bourgoin, O.D.

NPI #1720197361 in Costa Mesa, California

Provider Information

NPI Number: 1720197361
Entity Type: Individual
Name: DR. Michael Paul Bourgoin, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 29, 2006
Last Updated: Nov 2, 2007

Practice Location

Address: 1835 NEWPORT BLVD
Address 2: SUITE A-111
City: Costa Mesa
State: California
ZIP Code: 92627-5031
Phone: (949) 646-4949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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