Individual
DAVID WARREN BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-0001
(310) 267-8642
(310) 267-3899
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A117430
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
1124223565
CA
208600000X
Surgery Physician
A117430
CA
2086S0102X
Surgical Critical Care Physician
A117430
CA
Other
Enumeration date
06/16/2007
Last updated
12/23/2019
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