Boccardo, Humberto Jose
Boccardo, Humberto Jose is an individual health care provider with primary practice located at 24953 Paseo De Valencia Ste 14B, Laguna Hills CA 92653-4339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boccardo, Humberto Jose can be contacted via phone (949) 951-7808.Contact Information
Primary practice address
24953 Paseo De Valencia Ste 14B
Laguna Hills CA 92653-4339
Phone: (949) 951-7808
Fax: (949) 951-4831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A35747 | California |
Profile Details
| NPI number | 1689679458 |
|---|---|
| LBN Legal business name | Boccardo, Humberto Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689679458 | NPPES |
| California | MEDICAID | 00A357470 |
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