Boral, Percival Gimenez

Boral, Percival Gimenez is an individual health care provider with primary practice located at 1St Mlg Vandergrift Rd , Camp Pendleton CA 92055-5019. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Boral, Percival Gimenez can be contacted via phone (760) 763-0760.

Contact Information

Primary practice address
1St Mlg Vandergrift Rd Camp Pendleton CA 92055-5019
Phone: (760) 763-0760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1396915229
LBN Legal business name Boral, Percival Gimenez
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Apr 23rd, 2013 - about 11 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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