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Individual

KATHERINE ANN BOAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
444 S. SAN VICENTE, #900, LOS ANGELES, CA 90048
(310) 248-7325
Mailing address
444 S SAN VICENTE BLVD, STE 901, LOS ANGELES, CA 90048-4174
(626) 665-3169

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19917
CA
363AM0700X
Medical Physician Assistant
PA19917
CA
363AS0400X
Surgical Physician Assistant
Primary
PA19917
CA

Other

Enumeration date
09/17/2008
Last updated
08/16/2017
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