Bolsa Medical Group
NPI #1720423833 in Westminster, California
Provider Information
- NPI Number
- 1720423833
- Entity Type
- Organization
- Organization Name
- Bolsa Medical Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC,
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- May 2, 2013
- Last Updated
- May 2, 2013
Practice Location
- Address
- 10362 BOLSA AVE
- Address 2
- SUITE 110
- City
- Westminster
- State
- California
- ZIP Code
- 92683-6763
- Phone
- (714) 531-2091
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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