Bogdanova, Maria A

Bogdanova, Maria A is an individual health care provider with primary practice located at 1276 Halyard Dr , West Sacramento CA 95691-3412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bogdanova, Maria A can be contacted via phone (916) 454-2345.

Contact Information

Primary practice address
1276 Halyard Dr West Sacramento CA 95691-3412
Phone: (916) 454-2345
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 60241 California

Profile Details

NPI number 1407330681
LBN Legal business name Bogdanova, Maria A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2018
Last updated Mar 3rd, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407330681 NPPES
Virginia Other 0110-006390 VIRGINIA LICENSE NUMBER

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