Bougas, Panagiotis P
Bougas, Panagiotis P is an individual health care provider with primary practice located at 220 Laguna Rd Suite 2, Fullerton CA 92835-2523. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bougas, Panagiotis P can be contacted via phone (714) 446-7454.Contact Information
Primary practice address
220 Laguna Rd Suite 2
Fullerton CA 92835-2523
Phone: (714) 446-7454
Fax: (714) 879-1049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G84424 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G84424 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G84424 | California |
Profile Details
| NPI number | 1295814275 |
|---|---|
| LBN Legal business name | Bougas, Panagiotis P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | May 12th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295814275 | NPPES |
| California | Other | G84424 | STATE LICENSE |
| California | Other | GR0014371 | STATE LICENSE |
| California | Other | 290011505 | STATE LICENSE |
| California | Other | ZZZ97067Z | STATE LICENSE |
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