Search › California › 152W00000X
Gregory Boomer
NPI 1326110354 · on the registry since 2006 · sole proprietor
Practice
- Address
- 607 A Cottage St
Susanville, CA 96130 - Phone
- (530) 257-4424
- Fax
- (530) 257-9626
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-05
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