SearchCalifornia207QS0010X

Tom Bolger

NPI 1659261758 · on the registry since 2025 · sole proprietor

Practice

Address
2152 Caminito Circulo Sur
La Jolla, CA 92037
Phone
(970) 270-8225

Registry record

Primary taxonomy
207QS0010X
207QS0010X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-09

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