Individual
DR. GHASSAN E. BOGHOSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
39000 BOB HOPE DR, HARRY AND DIANE RINKER BLG, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 837-2238
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
20A-11166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A11166
CA MEDICAL LICENSE
CA
Enumeration date
02/02/2007
Last updated
02/20/2024
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