Boghossian, Gerard H

Boghossian, Gerard H is an individual health care provider with primary practice located at 42135 10Th St W Suite 101, Lancaster CA 93534-7095. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Boghossian, Gerard H can be contacted via phone (661) 726-5005.

Contact Information

Primary practice address
42135 10Th St W Suite 101 Lancaster CA 93534-7095
Phone: (661) 726-5005
Fax: (661) 726-5377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4323 California

Profile Details

NPI number 1942263322
LBN Legal business name Boghossian, Gerard H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 18th, 2014 - about 10 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 1942263322 NPPES
California Other 00E43231 MEDI-CAL

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