Individual
SWARAJ BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-8978
Mailing address
UCI OPHTHALMOLOGY GROUP, PO BOX 51055, LOS ANGELES, CA 90051-5355
(714) 456-6369
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
000000A65554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180039770
RR MEDICARE
CA
01
—
180046399
RR MEDICARE
CA
Enumeration date
10/16/2006
Last updated
04/12/2008
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