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Search › California › 101YM0800X

Charles Boomer

NPI 1659695153 · on the registry since 2010

Practice

Address
201 Alameda Del Prado
Novato, CA 94949
Phone
(415) 457-6964
Fax
(415) 491-0915
Organisation at this address
Buckelew Programs
Buckelew Programs
Buckelew Programs
Buckelew Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
89

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Sex
Male
Record last updated
2023-08-28

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