Individual
SHELLEY BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 54559, LOS ANGELES, CA 90054-0559
(714) 456-8068
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A84458
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A84458
CA
Other
Enumeration date
08/19/2006
Last updated
12/08/2021
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