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Organization
C.M.BOSLEY MEDICAL GROUP,INC.
Active
Organization
C.M.BOSLEY MEDICAL GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M BOSLEY M.D. (PRESIDENT)
(818) 787-4858
Entity
Organization
Contact information
Practice address
14624 SHERMAN WAY, #408, VAN NUYS, CA 91405
(818) 787-4858
(818) 787-4820
Mailing address
14624 SHERMAN WAY, #408, VAN NUYS, CA 91405
(818) 787-4858
(818) 787-4820
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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