Search › California › 101YS0200X
Carly Bourque
NPI 1053268979 · on the registry since 2026
Practice
- Address
- 3305 Buckman Springs Rd
Pine Valley, CA 91962 - Phone
- (619) 326-6662
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California