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Search › California › 164W00000X

Dwight Boochie

NPI 1649304213 · on the registry since 2007

Practice

Address
2640 Industry Way
Lynwood, CA 90262
Phone
(310) 639-5983
Fax
(310) 639-5870
Organisation at this address
Project Impact Inc.
Project Impact Inc.
Barbour & Floyd Medical Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
175

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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