Search › California › 183500000X
Bolam So
NPI 1821711508 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2223 Federal Ave
Los Angeles, CA 90064 - Phone
- (253) 355-6181
- Organisation at this address
- Mixlab, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-28
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