# TVFM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508207234
- **Authorized official:** DR. LAURENCE HENRY BOGGELN M.D. (OWNER/CEO)
- **Authorized official phone:** (951) 676-8868

## Contact information

- **Practice address:** 28999 OLD TOWN FRONT ST, SUITE 104, TEMECULA, CA 92590-5805
- **Practice address phone:** (951) 676-8868
- **Practice address fax:** (951) 676-9619
- **Mailing address:** 28999 OLD TOWN FRONT ST, SUITE 104, TEMECULA, CA 92590-5805
- **Mailing address phone:** (951) 676-8868
- **Mailing address fax:** (951) 676-9619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G49322 | CA | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | G49322 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/10/2013