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Organization
HEBA BOSHRA MD, INC.
Active
Organization
HEBA BOSHRA MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEBA BOSHRA MD (MD)
(909) 226-0198
Entity
Organization
Contact information
Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(909) 226-0198
Mailing address
6971 RUSSIAN RIVER CT, RANCHO CUCAMONGA, CA 91739-2063
(909) 226-0198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A120531
CA
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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