Individual
KRISTINA I BOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 690, LOS ANGELES, CA 90024-7000
(310) 206-2235
(310) 825-2092
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A52816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A528160
—
CA
Enumeration date
07/11/2006
Last updated
01/07/2020
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