Organization
CALIFORNIA CHIROPRACTIC BOSHEARS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW P BOSHEARS D.C. (VICE PRESIDENT/TREASURER)
(909) 790-5005
Entity
Organization
Contact information
Practice address
35191 YUCAIPA BLVD, YUCAIPA, CA 92399-4338
(909) 790-5005
(909) 790-5009
Mailing address
35191 YUCAIPA BLVD, YUCAIPA, CA 92399-4338
(909) 790-5005
(909) 790-5009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26844
CA
111N00000X
Chiropractor
DC27016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9302035
—
CA
05
—
GDC000570
—
CA
Enumeration date
11/07/2007
Last updated
11/07/2007
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