Bosse, Matthew J.
Bosse, Matthew J. is an individual health care provider with primary practice located at 1625 Schrader Blvd 3Rd Floor, Los Angeles CA 90028-6213. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bosse, Matthew J. can be contacted via phone (323) 993-7500.Contact Information
Primary practice address
1625 Schrader Blvd 3Rd Floor
Los Angeles CA 90028-6213
Phone: (323) 993-7500
Fax: (323) 308-4015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A75483 | California |
Profile Details
| NPI number | 1245239714 |
|---|---|
| LBN Legal business name | Bosse, Matthew J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245239714 | NPPES |
| California | Other | A75483 | STATE LICENSE ID # |
| California | MEDICAID | 00A754830 | STATE LICENSE ID # |
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