Individual
DR. ALLEN BOGHOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3380 BLACKHAWK PLAZA CIR STE 200, DANVILLE, CA 94506-4909
(925) 736-5959
Mailing address
3380 BLACKHAWK PLAZA CIRCLE, SUITE 200, DANVILLE, CA 94506
(925) 736-5959
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
05-31845
KS
207W00000X
Ophthalmology Physician
Primary
20A 8512
CA
Other
Enumeration date
06/26/2006
Last updated
01/06/2012
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