Abha M Bosworth in La Mesa - Physician Assistant
Abha M Bosworth - NPI 1629067053
Abha M Bosworth is a Physician Assistant in La Mesa, California. Abha M Bosworth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Abha M Bosworth is 1629067053. The last update date is 2013-09-24.
Abha M Bosworth's current location address is 8860 Center Dr, La Mesa, California. You can contact this provider via phone number 6194604055 and fax number 6194605148. The mailing address for Abha M Bosworth is 8860 Center Dr, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Abha M Bosworth |
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Address | 8860 Center Dr, La Mesa, California |
Phone Number | 6194604055 |
Fax Number | 6194605148 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1629067053 |
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Provider Enumeration Date | 2005-10-18 |
Last Updated Date | 2013-09-24 |
Provider Mailing Address Detail
Address | 8860 Center Dr |
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City | La Mesa |
State | California (CA) |
Post Code | 919423068 |
Phone Number | 6194604055 |
Fax Number | 6194605148 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA16657 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1629067053 | CA | MEDICARE NPI |
Post Comment/ Review Below
What is the Abha M Bosworth's 1629067053?
The Abha M Bosworth's NPI (National Provider Identifier) Number is 1629067053. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Abha M Bosworth is located?
The Abha M Bosworth is situated at the following address: 8860 Center Dr, La Mesa, CA, 919423068.
What is the Abha M Bosworth's area of specialization and corresponding taxonomy classification?
The Abha M Bosworth's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629067053 to Abha M Bosworth?
The Centers for Medicare & Medicaid Services originally issued the 1629067053 to Abha M Bosworth on 2005-10-18.
As of what date was the information pertaining to Abha M Bosworth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Abha M Bosworth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-09-24.