Boggeln, Laurence Henry

Boggeln, Laurence Henry is an individual health care provider with primary practice located at 27720 Jefferson Ave Ste 200 , Temecula CA 92590-2630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Boggeln, Laurence Henry can be contacted via phone (800) 797-2050.

Contact Information

Primary practice address
27720 Jefferson Ave Ste 200 Temecula CA 92590-2630
Phone: (800) 797-2050
Fax: (951) 848-9500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G4922 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X G49322 California

Profile Details

NPI number 1992701080
LBN Legal business name Boggeln, Laurence Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Feb 20th, 2018 - about 6 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 1992701080 NPPES
California Other G49322 MEDICAL BOARD OF CALIFORNIA

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