Bozuk & Associates Surgical, Inc.

LBN: Bozuk & Associates Surgical, Inc.
Bozuk & Associates Surgical, Inc. is an health care organization with primary practice located at 1456 Professional Dr Ste. #404, Petaluma CA 94954-6639. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Bozuk & Associates Surgical, Inc. can be contacted via phone (707) 763-3967, or through Bozuk, Michael Ivan via phone (707) 763-3967.

Contact Information

Primary practice address
1456 Professional Dr Ste. #404 Petaluma CA 94954-6639
Phone: (707) 763-3967
Fax: (707) 765-0554
Website:
Map and Directions
Authorized official contact:
Name: Bozuk, Michael Ivan Doctor of Medicine (MD)
Phone: (707) 763-3967

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A73703 California

Profile Details

NPI number 1609912914
LBN Legal business name Bozuk & Associates Surgical, Inc.
DBA Doing business as
Authorized official Bozuk, Michael Ivan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609912914 NPPES
California MEDICAID 00A737030

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