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Individual

DAVID BOLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
757 WESTWOOD PLZ, SUITE 7501, LOS ANGELES, CA 90095-7417
(310) 825-7375
Mailing address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(747) 210-3540

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A127574
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/20/2012
Last updated
12/17/2019
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