Individual
DR. JOSHUA PETER BOBKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
(202) 302-9510
Mailing address
3412 LANTANA LN, COSTA MESA, CA 92626-1748
(202) 302-9510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
137205
DC
207P00000X
Emergency Medicine Physician
Primary
A112209
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A112209
CA
Other
Enumeration date
06/02/2008
Last updated
05/23/2023
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