Search › California › 183500000X
Brian Boquiren
NPI 1124441134 · on the registry since 2014 · sole proprietor
Practice
- Address
- 811 Avenida Talega
San Clemente, CA 92673 - Phone
- (949) 940-0167
- Fax
- (949) 940-1051
- Organisation at this address
- Ralphs Grocery Company
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-27
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