Individual
CAROLINE BOAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 REDWOOD AVE, EL CAJON, CA 92019-2158
(619) 588-3075
Mailing address
12256 LOMICA DR, SAN DIEGO, CA 92128-2717
(619) 588-3075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23045
CA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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