Bogaard, Thomas Paul

Bogaard, Thomas Paul is an individual health care provider with primary practice located at 1401 S Grand Ave , Los Angeles CA 90015-3010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Bogaard, Thomas Paul can be contacted via phone (213) 802-0100.

Contact Information

Primary practice address
1401 S Grand Ave Los Angeles CA 90015-3010
Phone: (213) 802-0100
Fax: (626) 795-3229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G21222 California
Other Service Providers / Specialist 174400000X G21222 California

Profile Details

NPI number 1861438004
LBN Legal business name Bogaard, Thomas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861438004 NPPES
California MEDICAID 00G21220
California Other RHD113967
California Other 00G21220
California Other 05D0726009

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