Individual
ANDRES IVAN BOQUIREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(619) 320-2404
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/22/2025
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